Museum of Tolerance

Please Provide Your Contact Information

We will begin to plan your Tools for Tolerance program(s) after this form has been completed. Your information will be confidential and used to help us design the program for your school/organization.

Work with our team of expert consultants and facilitators to customize virtual training sessions to address your school community’s unique needs. Topics include: addressing social inequity, social emotional learning, inclusive curriculum, restorative justice, trauma-informed, and anti-bias leadership development. You can also request of the Museum's core courses on a date that works for you.

CONTACT US at educators@museumoftolerance.com with questions or to customize your Virtual PD for your school or district.

Contact Information

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Name:

First Name Required	Last Name Required

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Email: Required

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Street 1: Required

Street 2:

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City/State/ZIP:

City Required	State Required	ZIP Required

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Phone Number: Required

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Question - Required - Title/Position:

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Question - Required - School/Other:

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Question - Required - School District / Region:

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Question - Required - County

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Question - Required - Cell Phone

Question - Not Required - Website

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Question - Required - Alternate Contact Person

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Question - Required - Alternate Contact Email

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Question - Required - Alternate Contact Cell Phone

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Question - Required - How did you learn about this opportunity? (Be specific, please):

Programs are generally a combination of synchronous and asynchronous learning usually (approximately 8 hours) spread over a period of at least 3 days during a single week. Please indicate your top 3 preferred weeks (days/times) to book this program:

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Question - Required - Preferred Date Range 1

Question - Not Required - Preferred Date Range 2

Question - Not Required - Preferred Date Range 3

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Question - Required - Total # of Participants (minimum 25 people)

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Question - Required - Please describe your participating group (racial, ethnic, gender, socio-economic status, ages, religions, etc.)

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - What is the composition of your group (mostly either classroom teachers, administrators, classified staff, a mixed group, etc.)?

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Describe any on-going/previous professional development training related to campus climate, diversity, social justice, etc.)

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Please indicate the provider(s) of the aforementioned professional development training (if applicable)

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - How does this professional development program fit into larger plans and strategic goals of your educator team?

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - What do you see as some of the challenges facing your school community that could be addressed in this program?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Sign up for our eNewsletter!

Museum of Tolerance Updates

Program Goals

This program includes exploration of Museum exhibits, facilitated dialogue and discussion, special speakers and customized workshops.

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Question - Required - Please choose the content area you would most like to explore in your workshop (see web site for detailed overviews):

School Climate (eg. reducing bias, inclusive culture, safe schools, responding to hate)

Anti-Bias Educational Leadership (for school or district teams)

Social-Emotional Learning (eg. trauma-informed practice, authentic relationships, restorative justice)

Anti-Bias Classroom Curriculum (eg. human rights, social justice, service learning, media literacy, teaching the Holocaust)

Facilitating Difficult Conversations (dialogue skills for adults in school community and/or strategies for classrooms)

Other

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Question - Required - Please explain your choice & goals

(Maximum response 255 chars, approx. 5 rows of text)

PLEASE NOTE: Once you press the submit button, you will be taken to an automatic confirmation page. Please do not close your browser prior to this confirmation appearing, as it will cancel your submission.

This is only a confirmation that your registration has been submitted, not a confirmation of your program.

We will send you confirmation materials upon review of your registration. If you do not hear from us please contact educators@museumoftolerance.com to confirm that your information was received.

We recommend printing or saving the contents of this form for your records, in case of submission processing error.

Customized Virtual Programs for Educators