Duke 2013 Seminar Application

1. Introductory Information

Dear Centropa Seminar Applicant,

Thank you for your interest in Centropa's East Coast Winter Seminar, to be held at Duke University, Durham, NC. The seminar will begin at 11 am on Saturday, March 16 and end at 3:30 pm on Sunday, March 17.

Through this application we learn more about you and also gather information that will help us plan the seminar.

Though we would like to include everyone in the seminar we have limited funding to invite educators from public and parochial schools, Jewish day schools, supplementary schools, museums, BJEs and other educational organizations.

For those accepted to the seminar, we will pay for one night in the hotel, your air or train fare (or gas if you drive in), two lunches and snacks; participants must cover all other expenses, such as transportation to and from the airport, or parking. Once accepted, we will ask you to make your travel arrangements immediately to keep down transportation costs. Note: we will need complete documentation in order to reimburse you.

We will also ask you to purchase and begin reading Beautiful Souls: Saying No, Breaking Ranks, and Heeding the Voice of Conscience in Dark Times, by Eyal Press. We will discuss this book in relation to Centropa's stories involving Righteous Gentiles.

Please do not hesitate to contact Lauren Granite (granite@centropa.org, 301-787-0052) with any questions.

Thank you for your application.

Best,

Edward Serotta, Director
Lauren Granite, US Education Director

Question Title

* 1. Name, affiliation and contact data.
Please provide us with the address of your school or organization and give us a cell phone number in case we have to contact you during the seminar.

Name: *

School/Organization *

Address 1: *

Address 2:

City/Town: *

State/Province:

ZIP/Postal Code: *

Country: *

Email Address: *

Phone Number: *

Question Title

* 2. Please check the box that defines your role as an educator. You may check more than one box.

Administrator, public, parochial or charter school

Administrator, Jewish Day School

Classroom teacher, public, parochial or charter high school

Classroom teacher, public, parochial or charter middle school

Classroom teacher, Jewish day school, high school

Classroom teacher, Jewish day school, middle school

Staff person at Holocaust Education organization for teachers

Staff person at Bureau of Jewish Education or equivalent

Synagogue religious school teacher

Synagogue religious school principal/administrator

Other

Name of Your Institution(s)

Question Title

* 3. For this question, we'd like you to paint us a picture of your school or organization, and the students and/or teachers you teach. Please answer the specific question(s) relevant to you, and in the "other" option include anything that will help us understand the educational context in which you work. Note: the next question asks about your specific teaching or administrative responsibilities (such as what grades and courses you teach), so you do not need to include them here.

How many students are in your school?

What is the cultural makeup/background of your students?

If you teach in a Jewish school, what is the religious affiliation of your students?

If you lead Holocaust workshops/classes in a museum, BJE or similar setting, how many schools, students and teachers do you teach each year? Are they from public, parochial or Jewish schools?

Other: what else can you share with us about your school, organization and students that will help us understand the work you do?

Question Title

* 4. Please tell us about your professional experience and current educational work. If you are a classroom teacher be sure to include the grades and courses you teach. If you are an administrator and/or work for a BJE, museum or other educational organization, briefly describe your educational programs and the role you play in running them.

Question Title

* 5. Please tell us about the lesson, project or program you designed and implemented, that you are most proud of. What were your goals for the project/program? How did you achieve them? Be sure to describe briefly the lesson, project or program itself, as well as the responses of those who participated.

Question Title

* 1. Name, affiliation and contact data.Please provide us with the address of your school or organization and give us a cell phone number in case we have to contact you during the seminar.

Question Title

* 2. Please check the box that defines your role as an educator. You may check more than one box.

Question Title

Question Title

Question Title

* 1. Name, affiliation and contact data.
Please provide us with the address of your school or organization and give us a cell phone number in case we have to contact you during the seminar.