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Field Trip Request Form

Field Trip Request Form

 

Field Trips for the 2013/2014 year open June 24, 2013.

 

Please complete the following field trip request form. Request forms are processed in the order in which they are received and according to availability.  Field Trip requests must be made at least three weeks in advance of your requested date.  

 

Once we receive your request, we will verify availability and create a group reservation.  You will receive an email confirmation of your registration within 10 business days. If we are unable to accommodate your request, we will contact you via telephone and/or email to discuss alternatives for your group.

 

 

  • Summer Tours> Booking your tour for Summer 2013  (June 15 -August 31) 
  • Available SUMMER Dates> Check for open spots for the Summer 2013 season, by date and field trip option before submitting your request.


Payment Method

 

A non-refundable $50 deposit is required to hold your schedule field trip date, and is due within 14 business days of receiving your confirmation.  Deposits are due immediately if your field trip date is less than 30 days away.  Your deposit will be applied toward the admission balance of your trip.  We accept checks, money orders,credit cards,and PayPal.  We do NOT accept purchase orders.

 

  

 

School Information

School Name  
School Address  
City  
State    
Zip  
Main Phone ex. 123-456-7890
Grade Level of School  
     

Contact Information

First Name  
Last Name  
Job Title/Role Within School
Email  
*Email will be primary mode of communication
Work Phone
Home Phone (optional)
Cell Phone
Will you be accompanying your students on this field trip?
Yes
No
If no, please provide alternate contact info (email, work phone):
Name
Email
Work Phone
Cell Phone
     

Visitor Information

 
Grade Level of Class  
Subject Taught
Type of School  
What type of transportation will you be using?  
Bus  
Private vehicles or vans  

We will schedule one docent for every 20 students. Payment is required for the minimum number of students in a size range. We cannot guarantee space for additional students beyond that size range. Please refer to our field trip policy for more details.

Ticket Type
Quantity
Admission Fee
Students
(refer to tour maximums below)
$8
Chaperones FREE, 1 per 10 required
$15, additional adults
Extra Medical/Behavioral Aides FREE

Note: We require 1 chaperone (21 or older) for every 10 students. No exceptions can be made.
     
Do your students have any special needs?  
Yes  
No  
If yes, please check all that apply.
Learning disabilities (please explain)
 
Behavioral disabilities (please explain)
 
Physical or mobility impairments (please explain)
 
Other, including allergies and medical considerations (please explain)
 
Students' Background Preparation Prior to Trip
(i.e. topics studied, books read, films watched)
Teacher's Goal(s)
for Field Trip
(optional)
     

Time & Date of Visit

Please choose from the following field trip options. You may check more than one time to indicate flexible availability. Timeframes listed are firm and cannot be changed.


IMPORTANT! To avoid rescheduling or cancellation, please check your school's calendar for holidays, test dates, late arrival/early dismissal, teacher in-services, report card pick-up, etc. before requesting your field trip. Deposits are non-refundable.
     

1st Choice Date & Time

Date:

 

Tour:

In Our Voices (Grades 7-12)
Become a Witness (Grades 6+)
Memory, Action, Community (Grades 5+)
Take a Stand (Grades 3+)
Stand Up, Speak Out (Grades 3+)
Self Guided In Our Voices
Special Exhibition
Legacy of Absence
160 students max
80 students max
80 students max
60 students max
60 students max
 
40 students max
40 students max

Time:

In Our Voices







Become a Witness




Stand Up, Speak Out




Memory, Action, Community





Take a Stand



 
 

2nd Choice Date & Time

Date:

 

Tour:

In Our Voices (Grades 7-12)
Become a Witness (Grades 6+)
Memory, Action, Community (Grades 5+)
Take a Stand (Grades 3+)
Stand Up, Speak Out (Grades 3+)
Self Guided In Our Voices
Special Exhibition
Legacy of Absence
160 students max
80 students max
80 students max
60 students max
60 students max
 
40 students max
40 students max

Time:

In Our Voices







Become a Witness




Stand Up, Speak Out




Memory, Action, Community





Take a Stand



 
 

3rd Choice Date & Time

Date:

 

Tour:

In Our Voices (Grades 7-12)
Become a Witness (Grades 6+)
Memory, Action, Community (Grades 5+)
Take a Stand (Grades 3+)
Stand Up, Speak Out (Grades 3+)
Self Guided In Our Voices
Special Exhibition
Legacy of Absence
160 students max
80 students max
80 students max
60 students max
60 students max
 
40 students max
40 students max

Time:

In Our Voices







Become a Witness




Stand Up, Speak Out




Memory, Action, Community





Take a Stand



 
     

Student Dining Hall

The Student Dining Hall is booked on a first-come, first-served basis, based on availability. Students must bring disposable, brown-bag lunches; meals are not available for purchase.

For most tours, the lunchroom is reserved before or after your docent-led tour for 20 minutes and is not included in the tour times listed.

Please check here if you would like to reserve the Student Dining Hall, if available.
Time Restrictions
(Arrival/Departure)
 
 

Payment Method

A non-refundable $50 deposit is required to hold your scheduled fieldtrip date, and is due within 14 days of receiving your confirmation. Deposits are due immediately if your fieldtrip is less than 30 days away. Your deposit will be applied toward the admission balance of your trip.
Find out if your school qualifies for an Opportunity Scholarship!
     

IHMEC Information

Is this your first field trip visit with us?
Yes
No
How did you hear about IHMEC Field Trip Tour Program?
Colleague  
Teacher training workshop  
Summer Institutes  
IHMEC email  
Search engine  
Educator resource fair (list below)
 
Other  
     
     
I have read and agree to IHMEC's Field Trips policy. I will follow instructions given in the Pre-Visit Information sheets.
     
   

In Our Voices (Grades 7 +)

Explore the history of the Holocaust by taking an inquiry-based walk through our Karkomi Permanent Exhibition. Investigate the experiences of Holocaust survivors, witnesses, resistors, and rescuers through artifacts and testimony. Analyze the human and moral implications of individual choice, responsibility, and memory through connecting galleries and themes. Discover what influences our decision to act as bystanders or upstanders.

Your tour may also include stops in other Museum exhibitions:

  • Temporary Exhibition
  • Make a Difference: The Harvey L. Miller Family Youth Exhibition
  • Legacy of Absence Gallery


Whenever possible, the Museum will schedule an eyewitness to the Holocaust from our Speakers’ Bureau as part of the field trip.

Length: 3 hours
Times: 9:30, 10:30, 11:30 (weekdays), 11:00 (weekends), 5:00 (Thursday evenings)
Group Size: 160 students maximum

Become a Witness (Grades 6 and above)

Learn about the power of one voice in taking a stand for positive change. Draw connections between the lessons and themes of Make a Difference: The Harvey L. Miller Family Youth Exhibition to the lessons and themes of a study of the Holocaust and genocide.

Explore the following exhibitions:
  • Karkomi Permanent Exhibition – Post-war Immigration; Skokie
  • Discussion of artifacts related to pre-war Jewish life, the rise of Nazism, and the Kindertransports
  • Make a Difference: The Harvey L. Miller Family Youth Exhibition
  • Legacy of Absence Gallery or Temporary Exhibition

Whenever possible, the Museum will schedule an eyewitness to the Holocaust from our Speakers’ Bureau as part of the field trip.

Length: 2 hours, 25 minutes
Times: 10:00 (weekdays), 11:30 (weekends), 5:30 (Thursday evenings)
Group Size: 80 students maximum

Memory, History, Culture (Grades 5 and above)

Discover different ways to become more actively involved in your local and global communities through the hands-on activities in Make a Difference: The Harvey L. Miller Family Youth Exhibition. Learn how identity, social responsibility, and community tie into a discussion of human and civil rights and introductory study of the Holocaust and genocide.

Explore the following exhibitions:
  • Make a Difference: The Harvey L. Miller Family Youth Exhibition
  • Karkomi Permanent Exhibition – Post-war Immigration; Skokie
  • Discussion of artifacts related to pre-war Jewish life, the rise of Nazism, and the Kindertransports
  • Legacy of Absence Gallery or Temporary Exhibition

Length: 2 hours, 25 minutes
Times: 10:00, 12:00 (weekdays), 11:30 (weekends), 5:30 (Thursday evenings)
Group Size: 80 students maximum

Take a Stand (Grades 3 and above)

Through hands-on, interactive activities, discover what it takes to care for yourself and others, learn how to speak up for those being bullied, and understand core values of respect, compassion, justice, and citizenship. Develop the strategies and tools necessary to not only identify a problem, but also to identify and overcome any obstacles to solving that problem.

Explore the following exhibitions:
  • Make a Difference: The Harvey L. Miller Family Youth Exhibition
  • Legacy of Absence Gallery or Temporary Exhibition

Length: 2 hours, 10 minutes
Times: 10:00, 12:00 (weekdays), 11:30 (weekends), 5:30 (Thursday evenings)
Group Size: 60 students maximum

Stand Up, Speak Out (Grades 3 - 6)

Featuring outdoor activities (weather permitting) and tours in the Make A Difference! The Harvey L. Miller Family Youth Exhibition, 8 – 11 year olds will learn how to develop and build identity, community, and social responsibility. Summer tours include virtual-reality video games, craft-making activities, interactive computer modules, outdoor explorations (weather permitting).

Explore the following exhibitions:
Make A Difference! The Harvey L. Miller Family Youth Exhibition


Length: 2 hours, 10 minutes
Times: 10:00 (weekdays)
Group Size: 60 students maximum
 
9603 Woods Drive      Skokie, IL      60077
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