Illinois Holocaust Museum & Education Center

A completed request form must be received by our Education Department in order to process and confirm your field trip. You will receive confirmation of your registration by email within 10-15 business days.

Request forms are processed in the order in which they are received and according to availability. We will try our best to fill your request but cannot make any guarantees. Please provide us with at least three weeks’ notice in advance of your requested date.

In Our Voices (Grades 7-12)

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:

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: Miller Family Youth Exhibition to the lessons and themes of a study of the Holocaust and genocide.

Explore the following exhibitions:

Karkomi Permanent Exhibition – Introductory Film through 1938 Kristallnacht Gallery; Closing Film
Make a Difference: 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: 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: Miller Family Youth Exhibition. Learn how identity, social responsibility, and community tie into introducing a study of the Holocaust, human rights, and genocide.

Explore the following exhibitions:

Karkomi Permanent Exhibition – Introductory Film through 1938 Kristallnacht Gallery only
Make a Difference: Miller Family Youth Exhibition
Legacy of Absence Gallery

Length: 2 hours, 25 minutes
Times: 10:00, 12:00 (weekdays), 11:30 (weekends), 5:30 (Thursday evenings)
Group Size: 60 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:

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

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		(optional)
Email
*Email will be primary mode of communication
Work Phone		ex. 123-456-7890
Home Phone		(optional)
Cell Phone		(optional)
Will you be accompanying your students on this field trip?
	Yes
	No
If no, please provide alternate contact info (email, work phone):		(optional)
Name
Email
Work Phone

Visitor Information
Grade Level of Class
Subject Taught		(optional)
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)		$5 (2010) $6 (2011)
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.

Students' Special Needs (optional)
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
Note: It is not always possible to accommodate your first choice. Request forms are processed in the order they are received and according to availability. 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, 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, History, Culture (Grades 5+) Take a Stand (Grades 3+)	160 students max 80 students max 60 students max 60 students max
Time:	In Our Voices 9:30 - 12:30 (M-F) 10:30 - 1:30 (M-F) 11:30 - 2:30 (M-F) 11:00 - 2:00 (Sa/Su) 5:00 - 8:00 (Th. only) Become a Witness 10:00 - 12:25 (M-F) 11:30 - 1:55 (Sa/Su) 5:30 - 7:55 (Th. only) Memory, History, Culture 10:00 - 12:25 (M-F) 12:00 - 2:25 (M-F) 11:30 - 1:55 (Sa/Su) 5:30 - 7:55 (Th. only) Take a Stand 10:00 - 12:10 (M-F) 12:00 - 2:10 (M-F) 11:30 - 1:40 (Sa/Su) 5:30 - 7:40 (Th. only)

2nd Choice Date & Time
Date:
Tour:	In Our Voices (Grades 7-12) Become a Witness (Grades 6+) Memory, History, Culture (Grades 5+) Take a Stand (Grades 3+)	160 students max 80 students max 60 students max 60 students max
Time:	In Our Voices 9:30 - 12:30 (M-F) 10:30 - 1:30 (M-F) 11:30 - 2:30 (M-F) 11:00 - 2:00 (Sa/Su) 5:00 - 8:00 (Th. only) Become a Witness 10:00 - 12:25 (M-F) 11:30 - 1:55 (Sa/Su) 5:30 - 7:55 (Th. only) Memory, History, Culture 10:00 - 12:25 (M-F) 12:00 - 2:25 (M-F) 11:30 - 1:55 (Sa/Su) 5:30 - 7:55 (Th. only) Take a Stand 10:00 - 12:10 (M-F) 12:00 - 2:10 (M-F) 11:30 - 1:40 (Sa/Su) 5:30 - 7:40 (Th. only)

3rd Choice Date & Time
Date:
Tour:	In Our Voices (Grades 7-12) Become a Witness (Grades 6+) Memory, History, Culture (Grades 5+) Take a Stand (Grades 3+)	160 students max 80 students max 60 students max 60 students max
Time:	In Our Voices 9:30 - 12:30 (M-F) 10:30 - 1:30 (M-F) 11:30 - 2:30 (M-F) 11:00 - 2:00 (Sa/Su) 5:00 - 8:00 (Th. only) Become a Witness 10:00 - 12:25 (M-F) 11:30 - 1:55 (Sa/Su) 5:30 - 7:55 (Th. only) Memory, History, Culture 10:00 - 12:25 (M-F) 12:00 - 2:25 (M-F) 11:30 - 1:55 (Sa/Su) 5:30 - 7:55 (Th. only) Take a Stand 10:00 - 12:10 (M-F) 12:00 - 2:10 (M-F) 11:30 - 1:40 (Sa/Su) 5:30 - 7:40 (Th. only)

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.
Time Restrictions (Arrival/Departure)

Payment Method
IHMEC requires a non-refundable $50 deposit to hold your scheduled field trip, due within 14 days of receiving your field trip confirmation, or immediately if your field trip date is less than 30 days away. This deposit will be applied toward the cost of your trip. How do you plan to pay your deposit?
	Credit Card (online)
	Check (by mail)

IHMEC Information
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 7-12	160 students max
Become a Witness	Grades 6 and above	80 students max
Memory, History, Culture	Grades 5 and above	60 students max
Take a Stand	Grades 3 and above	60 students max

2010-2011 REGISTRATION PROCESS

School Information

Contact Information

Visitor Information

Time & Date of Visit

1st Choice Date & Time

Date:

Tour:

Time:

2nd Choice Date & Time

Date:

Tour:

Time:

3rd Choice Date & Time

Date:

Tour:

Time:

Student Dining Hall

Payment Method

IHMEC Information

In Our Voices (Grades 7-12)

Become a Witness (Grades 6 and above)

Memory, History, Culture (Grades 5 and above)

Take a Stand (Grades 3 and above)