MMOT Extension Combat Hate
Pre-Workshop Needs

Combat Hate Pre-Workshop
Pre-Workshop Needs Inquiry

The Simon Wiesenthal Center's Mobile Museum of Tolerance is committed to equity and inclusion for all our participants. To ensure that we are able to best meet the needs of your students, when possible, we kindly request that you respond to the questions below.

For more information please contact:

Illinois: Jessa Deluca jdeluca@museumoftolerance.com

New York: Ann Pesahovitz, apesahovitz@wiesenthal.com

Pre-Workshop Needs Inquiry Form

Email*

Email*

School Name*

School Name*

School Contact *

School Contact *

Please list the School Contact Name, Email and Phone Number

If not previously communicated, please provide the workshop schedule for each day and the number of students per class period. *

If not previously communicated, please provide the workshop schedule for each day and the number of students per class period. *

Example:
10/31:
1st period, 8:00-9:00am, 25 students.
2nd period, 9:05-10:05am, 23 students
etc.

Are there specific language needs that we should be aware of regarding students who will be engaging in our workshops?*

Are there specific language needs that we should be aware of regarding students who will be engaging in our workshops?*

Do you require Spanish student materials (student handout, action plan, Spanish subtitled video)? If so, please list approximately how many Spanish copies you will require*

Do you require Spanish student materials (student handout, action plan, Spanish subtitled video)? If so, please list approximately how many Spanish copies you will require*

Are there any other needs you would like us to be aware of so that we can prepare for upcoming workshops? *

Are there any other needs you would like us to be aware of so that we can prepare for upcoming workshops? *

Do you have administrative approval for MMOT's Combat Hate In-classroom visit?*

Do you have administrative approval for MMOT's Combat Hate In-classroom visit?*

If the answer is no, complete the administrative approval process for your school prior to the scheduled workshop dates. Please reach out if you have any questions or concerns regarding administrative approval.

Thank you very much for providing us with this very valuable information. This information will help us to prepare to meet the needs of students and to ensure the best possible workshop experiences for all.

Thank you very much for providing us with this very valuable information. This information will help us to prepare to meet the needs of students and to ensure the best possible workshop experiences for all.