Request Form « Illinois Holocaust Museum and Education Center

Request Form

Schools who participate in our trunk program are required to provide IHMEC with three forms of feedback:

Letter of thanks to sponsor of trunk
Student Evaluation Form
Online Teacher Evaluation form

Instructions and materials, including an evaluation form, will be sent with your trunk.

Step 1 - Contact Information
School name*
School phone*
Trunk destination*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your name*
First Last
Email*

Email is the primary form of communication.
Cell phone*
Work phone
Work fax
Home phone
Step 2 - Trunk Information
Trunk you wish to borrow*
Number of teachers using the trunk*
Number of students using the trunk*
Desired arrival date*
Date Format: MM slash DD slash YYYY
Desired length of loan*
Have you used our trunk before?*
- Yes
- No
Comments
This field is for validation purposes and should be left unchanged.

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Copyright © Illinois Holocaust Museum & Education Center
9603 Woods Drive Skokie, IL 60077 847.967.4800
The Illinois Holocaust Museum and Education Center is registered as a 501(c)(3) organization.

Request Form

Step 1 - Contact Information

Step 2 - Trunk Information