Student Information: 2025 Bringing the Lessons Home Program Application

Home Address

Can't find address? Input it manually.

Country

Address Line 1

Address Line 2

City

State / Province / County

Zip/Postal Code

Reset Address

Email Address

(Note: Please provide an email address you would like to use for learning purposes if accepted into the program.)

Cell Phone Number

(Note: If you do not have a cell phone, please provide a parent/guardian cell phone number.)

ADDITIONAL INFORMATION

Gender Identity

Male

Female

Genderqueer/non-binary

Prefer not to disclose

Additional identity

Additional identity:

Pronouns

He/him

She/her

They/them

Prefer not to disclose

Additional preferred pronouns

Grade

Freshman (9th)

Sophomore (10th)

Junior (11th)

Senior (12th)

How did you learn about the Bringing the Lessons Home program?

Teacher

School administrator

BTLH ambassador

Member of the community

Museum employee

Social media

Other

How did you learn about the Bringing the Lessons Home program? - Other:

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Phone Number

Parent or Guardian Email Address

Parent or Guardian Address 1

Parent or Guardian Address 2

Emergency Contact Name

Emergency Contact Relationship to Applicant

Emergency Contact Phone Number

Can you fully commit to participating in the entirety of the weekly Saturday training program from February 22, 2025, through June 7, 2025?

Yes

If you replied no to the previous question, please explain why.

Have you visited the United States Holocaust Memorial Museum before applying to this training program?

Yes

If you have visited the United States Holocaust Memorial Museum, did you participate in a guided tour facilitated by Museum staff/volunteers?

Yes

Please list any food allergies or dietary restrictions. Please select all that apply:

Dairy

Gluten

Nuts (Peanuts, Almonds, Tree Nuts, etc.)

Vegetarian

Vegan

Kosher

Shellfish

Other

(Morning refreshments and lunch will be provided weekly.)

Please list any food allergies or dietary restrictions - Other:

When is your school spring break?

Do you have access to any of the listed technology below to utilize for educational purposes if selected to participate in the training program? Please select all that apply:

Personal internet/Wi-Fi access

Laptop or desktop PC

Chromebook

iPad

Android tablet

Mobile phone

Have you ever used any of the following programs? Please select all that apply:

Canvas Instructure

GroupMe

Zoom

Google Slides

2025 Bringing the Lessons Home Program Application

Part 1 of 7: STUDENT INFORMATION

ADDITIONAL INFORMATION