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Request A Speaker Form Page: How To Get Started
Virginia Holocaust Museum
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Request A Speaker Form Page: How To Get Started
Request A Speaker Form
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Name
*
First
Last
Email
*
Phone
School Name
School County
Grade Level
Middle
High School
Mode of Presentaion
In-Person
Zoom/Google Meet
Preferred Speaker
Dr. Roger Loria (Holocaust Survivor - In Person & Remote)
Pinchas Gutter (Holocuast Survivor - Remote Only)
Erika Schwartz (Holocaust Survivor - Remote Only)
Halina Zimm (Holocaust Survivor - In Person)
Amanda Sam (Cambodian Survivor - In Person & Remote)
Jason Nshimye (Rwanda Survivor - In Person & Remote)
Chantel Ingabire (Rwanda Survivor - In Person & Remote)
How many students will be in attendance?
Preferred Date / Time
Date
Time
Do students have historical knowledge background pertinet to the survivor's background?
Yes
No
Is there anything else you would like to share with us at this time?
Submit
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