Schedule a Classroom Visit Workshop Please keep in mind that requests must be submitted at least 3 weeks in advance of the date of your desired visit. Contact Information Contact Person's Full Name Contact Email Names of Additional Teacher’s hosting a workshop (if applicable) Additional Teacher’s Email(s) (if applicable) School or Group Name School or Organization Address (street, town, state, and zip code) Phone Number (please provide the phone number that we can reach you at on the day of the visit.) Group Details Total Number of Students Total Number of Sections/Classes Please select the grade(s) of students who will be participating (select all that apply) Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12University Please select the subject area that best represents the class(es) where the workshop(s) will take place Social StudiesELA/LAReligion/TheologyArtOther If you selected Other above, please specify. Date and Time OJMCHE Educators are available to lead multiple workshops per day and/or over the course of multiple days to reach all your students. Please refer to the FAQs for more information. Preferred date (month / day / year) Primary back-up date (month / day / year) *must be different from preferred date Secondary back-up date (month / day / year) *must be different from above back-up date Schedule of class(es) (a more detailed schedule may be requested if necessary) Program Cost Please select the rate that best meets your group’s needs. $100 per class - Standard Program Cost$50 per class - Partial ScholarshipFull Scholarship for Title I Schools (schools will be asked to provide documentation of Title I status) Workshop Preferences Please select which workshop(s) you prefer for your classroom visit. Please refer to the FAQs for a description of each workshop. How and Why: Questions about the HolocaustUnderstanding Judaism through ArtifactsAnalyzing Stereotypes and ScapegoatingLaw and Order: Legalizing Discrimination During the HolocaustLife in the Lodz GhettoResistance and Rescue During the HolocaustInterrupting Extremism Background Information Has your school or organization previously organized a classroom visit workshop with OJMCHE? Yes, we’ve previously organized a classroom visit workshopNo, this is our first time organizing a classroom visit workshop Are you currently at the beginning, middle, or end of the unit that is associated with this workshop? BeginningMiddleEnd We strive to offer differentiated programs that meet student learning needs. Please provide information about your students’ learning needs, including but not limited to the following: languages spoken (other than English), literacy levels, and physical/social/emotional needs. We would like to hear how this workshop builds connections with your curriculum and unit of study. Please list specific essential questions, lessons, or curriculum guiding your unit. Please provide a learning goal/objective by completing the following prompt: As a result of this workshop, my students will gain a deeper understanding of … Is there anything else you would like your workshop facilitator to know? Please be aware that the form takes a few moments to submit. You should get some sort of message below when it goes through or if there is an error.
