Name of school: Name of organizations and/or campus:

Head of school: Director of organization/campus:

Address of school: Address of organization/campus:

What kind of School?

Jewish Community School

Jewish Day School

Yeshiva / Girls School

Other:

Affiliation of the school:

:

Number of students in the school:

Your Position in the school:

What subjects do you teach? Do you have a Holocaust Program??

Which grades do you teach?

How many years have you been teaching?