Museum of Tolerance

Question - Not Required - How did you learn of this opportunity?

Question - Not Required - I have attended Tools for Tolerance® for Educators programs at the MOT

Question - Not Required - I have taken my students to the Museum of Tolerance

Question - Not Required - Explain further, if you wish

Contact Information


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Country: Required
*	Phone Number: Required
*	Date of Birth: Required	Date of Birth:

*

Question - Required - Passport Number

School Information

Question - Not Required - Current School Name

*

Question - Required - Current Supervisor (Name)

*

Question - Required - Current Supervisor (Title)

*

Question - Required - Current Supervisor (Phone Number)

*

Question - Required - Current Supervisor (Email)

Question - Not Required - School Address

Question - Not Required - School Phone

Please answer the following questions.

Question - Not Required - What subject(s) and/or grades do you currently teach?

Question - Not Required - How long have you been teaching?

Question - Not Required - Please list your college degrees (lowest to highest) including College/University Name, Degree Earned and Date Earned.

Question - Not Required - Have you covered the Holocaust in lessons before?

Question - Not Required - If so, approximately how many classroom hours do/did you spend on the topic?

Question - Not Required - Were there particular challenges or issues you faced in teaching the subject?

Question - Not Required - Describe the community in which you teach (socio-economic, ethnic, size)

Question - Not Required - Do you have any special dietary or religious needs?

Question - Not Required - In brief, please describe your motivation for participating in this program

Question - Not Required - Have you been to Europe before, and if so, when? What countries did you visit?

Question - Not Required - Do you have any impediments to participating fully in an emotionally and physically challenging program? If yes, please explain. **PLEASE NOTE: The program can be emotionally and physically challenging and involves a lot of walking.**

Medical Emergency Contact Info

Question - Not Required - Contact Name

Question - Not Required - Phone

Question - Not Required - Relationship to you

Question - Not Required - Email

All those accepted for this seminar are required to participate in the entire program.
You may extend your stay in Berlin or other parts of Europe at your own expense.

Berlin Summer Program 2020 Application