Eyewitness to the Struggle for Change (2/7/13)

To register for Eyewitness to the Struggle for Change: Teaching with Primary Sources (February 7, 2013), please fill out the following information.

Cost: $20 due at time of registration
Time: 9:00 - 2:30 p.m.
Location: Illinois Holocaust Museum & Education Center

Seating is limited and will be filled on a first-come, first-served basis. Maximum two teachers per school per workshop.

Attendance will be confirmed via email within 3-5 business days. Confirmed participants will also receive a reminder email the week of the workshop with more details.

Question Title

1. Basic Information (Required.)

First Name

Last Name

Email Address

School Name

School Address

School City

State

Zip

School District

School County

Phone Number (Primary)

Grade Level(s)

Subject

Question Title

2. Have you visited IHMEC before? Please choose all that apply. (Required.)

Yes, for an Open House

Yes, for a teacher training or Summer Institute

Yes, for a field trip

No, I have never been to IHMEC before

Question Title

3. How did you hear about this teacher training? (Required.)

Website

Colleague

Program Booklet

Other, please specify

Question Title

4. Would you be interested in learning more about our educational opportunities? (Required.)

Yes

Question Title

* 1. Basic Information (Required.)

Question Title

* 2. Have you visited IHMEC before? Please choose all that apply. (Required.)

Question Title

* 3. How did you hear about this teacher training? (Required.)

Question Title

* 4. Would you be interested in learning more about our educational opportunities? (Required.)

1. Basic Information (Required.)

2. Have you visited IHMEC before? Please choose all that apply. (Required.)

3. How did you hear about this teacher training? (Required.)

4. Would you be interested in learning more about our educational opportunities? (Required.)