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Virtual Student Tour Reservations
School
Do any of the following apply to your students?
*
Title I Schoolwide Program
At least 50% of my students receive free or reduced lunch
None of the Above
Teacher / Contact
Lead Teacher for Day of Virtual Tour
School Address
City
State / Province / Region
Postal / Zip Code
Country
School District
Teacher's Email
School Phone
Cell (for day-of contact)
Class Title
Number of Students
Age Level
*
5th Grade
6th Grade
7th - 8th Grade
High School
College
Other
Has your school ever visited Holocaust Museum LA in the past? If so, when?
Date & Time
Date Requested
Alternative Date
Start Time Requested
00:00
00:15
00:30
00:45
01:00
01:15
01:30
01:45
02:00
02:15
02:30
02:45
03:00
03:15
03:30
03:45
04:00
04:15
04:30
04:45
05:00
05:15
05:30
05:45
06:00
06:15
06:30
06:45
07:00
07:15
07:30
07:45
08:00
08:15
08:30
08:45
09:00
09:15
09:30
09:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45
14:30
Alternative Start Time
00:00
00:15
00:30
00:45
01:00
01:15
01:30
01:45
02:00
02:15
02:30
02:45
03:00
03:15
03:30
03:45
04:00
04:15
04:30
04:45
05:00
05:15
05:30
05:45
06:00
06:15
06:30
06:45
07:00
07:15
07:30
07:45
08:00
08:15
08:30
08:45
09:00
09:15
09:30
09:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45
14:30
Are you interested in having a Holocaust survivor speak to your students?
Yes
No
If you would like a Holocaust survivor to speak to your students, what day is best?
Same day as tour
Different Day as tour
Requested date for Holocaust survivor talk (only if you need a different date from your tour)
Details
Tell us about your class
Rate your students' knowledge of the Holocaust
Excellent
Good
Satisfactory
Limited
Describe your class's familiarity with the Holocaust
Please list any Holocaust-related media your class has studied (books, movies, music, etc.)
How did you hear about Holocaust Museum LA?
How is your school conducting classes this fall? Please check the following that apply to your class:
Virtual classes only
In-person classes only
A mix of both virtual and in-person classes
SUBMIT
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