Open Enrollment Institute Registrations

 

To learn more about all Open Enrollment Institutes, please click here.

For Pre-K - 12 private and public school educators, student teachers, teacher candidates and staff of California schools, school districts, and educator organizations.

  Contact Information

*

Name:

 

 

 

     

*

*

 

*

City/State/ZIP:

 

    

*

*

Date of Birth:

 

If you respond and have not already registered, you will receive periodic updates and communications from Simon Wiesenthal Center .


*  


   


*
Question - Required - Institute Choice and Session Dates:


*  


*  


*  


*  


*  


*
Question - Required - If you are located outside a 50-mile radius from the MOT, are you/your school/district able to cover the cost of transportation?:




*
Question - Required - What method of transportation will require the grant help cover?:




*
Question - Required - If you are located outside a 50-mile radius from the MOT, are you/your school/district able to cover the cost of flying?:



   


*
Question - Required - If you are located outside a 50-mile radius from the MOT, are you/your school/district able to cover the cost of accommodations:



*

*

*

*  


 
Question - Not Required - Sign up for our eNewsletter!


 

Additional Information

Once your request is received we will send you a confirmation letter with program details. My registration is not complete until I receive a confirmation letter from the MOT office.

If you do not hear from us please contact educators@museumoftolerance.com to confirm that your registration was submitted.

*
Question - Required - By submitting this registration form I agree to the following:

 

PLEASE NOTE: Once you press the submit button, you will be taken to an automatic confirmation page. Please do not close your browser prior to this confirmation appearing, as it will cancel your submission.

We recommend printing or saving the contents of this form for your records, in case of submission processing error.

   Please leave this field empty