Birmingham Holocaust Education Center
Scholarship Application

Personal Information
   
*REQUIRED FIELDS  
Name*
Home Address 1*
Home Address 2  
City*
State*
Zip Code*
Home Phone*
Cell Phone*
Preferred E-Mail*

 

School Information
   
School Name*
School Address 1*
School Address 2  
City*
State*
Zip Code*
School Phone*
   

 

Holocaust Workshop Request (Select Only One)

U.S. Holocaust Memorial Museum
 Belfer (Washington, DC)
 Museum Teacher Fellowship (Washington, DC)

Appalachian  State University
Martin & Doris Rosen Summer Symposium, "Remembering the Holocaust" (Boone, NC)

Jewish Foundation for the Righteous
 Summer Institute for Teachers  (New York City)
Advanced Seminar (Newark, NJ)
European Study Program

Facing History and Ourselves
 Holocaust & Human Behavior (Memphis, TN)

 Yad Vashem
 International Seminar for Educators, "Teaching About the Shoah and Antisemitism"  (Jerusalem, Israel)

Jewish Labor Committee
Holocaust and Jewish Resistance Teachers' Program (Europe)

Other
Name of Institution
Name of Workshop

 

 

Secular Teaching Experience
 Please provide information beginning with the most recent and working backwards.
       
School 1* Grade Level *
Subject(s)* Calendar Year*
       
School 2 Grade Level
Subject(s) Calendar Year
       
School 3    Grade Level
Subject(s) Calendar Year

 

If experience is more extensive, please enter in box below.
Follow above format.




Holocaust Teaching Experience
Please provide information beginning with the most recent and working backwards.

Number of years teaching the Holocaust*  

School 1     Grade(s)    Calendar Year 

School 2     Grade(s)    Calendar Year 

School 3     Grade(s)    Calendar Year 

Please describe the content and any special experiences
that were included in your Holocaust Unit.
(i.e. student assignments, field trips, etc.)

 

Previous Holocaust Education Workshops
 You Have Attended.

Workshop       Date

Workshop       Date

Workshop       Date

 

Required Essay
Please submit the required essay. You may use the text box below.
Describe briefly (500 words or less) your reasons for requesting grant support
to attend the Holocaust Education Workshop you have selected.


Principal Recommendation
 A recommendation from your Principal is required.
Please submit by mail or email by the Application Deadline.

Email: Teacher Scholarship Coordinator

Mail: Birmingham Holocaust Education Center
P. O. Box 130805
Birmingham, AL 35213-0805

 

Deadline
All applications must be received by the deadline posted on our website
 in order to be considered.