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Stories & Exhibits
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- - Library & Archives Collections
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- - Upcoming Events
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Program Request Form

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

HC Program Intake

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

HC Program Intake

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

HC Program Intake

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Name

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Phone

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Comments

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Name

This field is for validation purposes and should be left unchanged.

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

HC Program Intake

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

HC Program Intake

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

HC Program Intake

Thank you for your interest in booking a program with the JFCS Holocaust Center. We offer educational opportunities for middle and high school students, educators, school administrators, university groups, and adult audiences. Program options include interactive workshops, keynote speakers, presentations by members of The William J. Lowenberg Speakers Bureau, and other learning experiences focused on Holocaust and genocide education.

The William J. Lowenberg Speakers Bureau consists of Holocaust survivors, descendants, and survivors of genocides who share their personal testimony with audiences around the world. Speakers Bureau Programs can stand alone or be coordinated in conjunction with other programs. Please use this form to request a standalone Speakers Bureau Program or request a combined program.

Length:

Workshops last approximately 45 – 60 minutes.
Speakers Bureau presentations are 75 minutes.

Audience Requirement:

These programs are appropriate for 6th grade level and above with some previous knowledge of the Holocaust. Testimony from members of the Speakers Bureau does not serve as an introduction. Our team can assist in suggesting introductory resources.

Scheduling:

Please complete this form a minimum of four weeks in advance of the requested program date, so we can match your group with the right program. Our team will follow up with you to confirm and finalize the details.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Comments

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Name

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Phone

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone(Required)

Please choose the statement that describes you the best:(Required)

I’d like to bring a program to my students (I am a teacher at a public, private, or religious school)

I’d like to bring a program to a community of teachers, educators and/or administrators at my school or district

I’d like to bring a program to my University Students

I’d like to bring a program to our company / organization that’s geared toward adult audiences

This field is hidden when viewing the form

Page 2: School Students

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Grades involved (check all that apply):(Required)

6th

7th

8th

9th

10th

11th

12th

What class will this program be associated with?(Required)

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 3: School Teachers and/or Administrators

For all school programs, we require administrative approval to facilitate programs on campus and online. Please reach out to an administrator to approve this program and provide their contact information below. The administrator will be copied on all future communication.

School Name:(Required)

School Address:(Required)

Street Address Address Line 2 City State ZIP Code

School Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

School District:(Required)

Type of school:(Required)

Public

Private

Parochial

Charter

Other

Administrator Name:(Required)

Administrator Email:(Required)

We ask that all schools contribute a fee of $300 for virtual workshops and $350 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 4: University Students

University Name:(Required)

University Address:(Required)

Street Address Address Line 2 City State ZIP Code

University Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Type of university:(Required)

Public

Private

Other

Education level (check all that apply):(Required)

Undergraduate

Graduate

What class will this program be associated with?(Required)

We ask that all universities contribute a fee of $250 for virtual workshops and $300 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 5: Adults

Organization Name:(Required)

Organization Address:(Required)

Street Address Address Line 2 City State ZIP Code

Region:(Required)

San Francisco

East Bay

Marin

Peninsula

Outside Bay Area

Does your organization serve a low-income population(Required)

Yes

No

We ask that all organizations contribute a fee of $350 for virtual workshops and $400 for in-person workshops. This fee helps to run the education programs but should not be a barrier. Financial aid is available if needed. Please reach out to HolocaustCenter@jfcs.org to discuss financial aid.

This field is hidden when viewing the form

Page 6: School Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Student workshop

Speakers Bureau program

Please select the student workshop you would like to book:(Required)

Antisemitism: A Story through Passports (grades 7 – 12)

Hidden Children & The Holocaust (grades 6 – 12)

Stages of Genocide: The Holocaust as a Case Study (grades 9 – 12)

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto (grades 8 – 12)

Painted Words: The Art of Sam Bak, Child Survivor of the Holocaust (grades 7 – 12)

A Bag of Marbles: A Graphic Novel about Wartime France (grades 7 – 12)

Patterns of Genocide (grades 9 – 12)

Beginning the Conversation: An Introduction to the Holocaust (Student-Parent workshop)

Navigating Antisemitism Today (A Workshop for Jewish Teens)

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Have your students heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please list the details of you or your school's Holocaust and genocide history curriculum, including major topics and events covered in class and any books read.(Required)

Approximately how many hours will the students spend studying the Holocaust and/or genocide prior to the speaker's visit?(Required)

Do you have a specific lesson plan to prepare the students for the speaker and to debrief after they have heard from the speaker? If so, please explain.(Required)

Please share some optional dates and times for the Speakers Bureau program (allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 7: Adult Program Selection

Please select the type(s) of program you would like to book (select all that apply). If you are booking both a workshop and a Speakers Bureau program , you will be prompted to provide optional dates for each activity. If you would like them to take place on the same day, please indicate this by entering the same dates in both sections.(Required)

Workshop or a keynote speaker

Speakers Bureau program

Please select the program you would like to book. Each program can be delivered as a professional development workshop or as a keynote speaker presentation for your organization:(Required)

Contemporary Antisemitism: Understanding & Identifying Hate

Painted Words: Teaching the Holocaust through the Art of Sam Bak, Child Survivor

Using Graphic Novels to Teach about the Holocaust: A Case Study of Wartime France

Art to Survive: Learning History Through the Life and Work of Charlotte Salomon

Three Voices from Shanghai: Stories Unearthed from the JFCS Holocaust Archives

Rywka’s Diary: The Writings of a Jewish Girl from the Lodz Ghetto

Beginning the Conversation: An Introduction to the Holocaust (Parent-Student workshop)

Talking about Antisemitism with your Children (Parent-Student workshop)

The Stories behind the Pictures: Child Holocaust Survivors’ Early Years in America

Patterns of Genocide

Please share some optional dates and time for the workshop (allow at least 45 – 60 minutes for the session)

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

Have you hosted a member of our Speakers Bureau in previous years?(Required)

Yes

No

Do we have permission to share your contact information with the speaker?(Required)

Yes

No

Has your group heard from a Holocaust or genocide survivor before?(Required)

Yes

No

Unsure

Please share some optional dates and time for the Speakers Bureau program: (Programs are available from 9:00 AM and no later than 6:00 PM. Allow 75 minutes for the session):

First choice date:

Month

Day

Year

Preferred time window:

Second choice date:

Month

Day

Year

Preferred time window:

Third choice date:

Month

Day

Year

Preferred time window:

This field is hidden when viewing the form

Page 8: Final steps

To better meet your needs, please provide additional information about your group and program format.

Preferred format:(Required)

In-person

Online

Projected audience size:(Required)

How did you hear about the JFCS Holocaust Center?(Required)

Email

LinkedIn

Social Media

From a friend/colleague

Paper mailing

Website

Other

Do you have any special needs/requests or important information about your group

Do you have any questions for us?

Phone

This field is for validation purposes and should be left unchanged.

Donate to the JFCS Holocaust Center

You can help combat antisemitism by donating to our educational programs that reach thousands of students each year.

2245 Post Street
P.O. Box 159004
San Francisco, CA 94115

415-449-3717

holocaustcenter@jfcs.org

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