Martin & Doris Rosen Summer Symposium Scholarship Form

This form is for teachers applying for a scholarship which covers room and board, and three meals a day.

Mr., Miss, Ms., Mrs., etc.
Mailing Address
Permanent Address
School where you teach
List any classroom, school-wide or community activities in which you have participated related to Judaism and/or Holocaust Studies. Please include some basic information about the methods you use to teach the Holocaust (i.e the books you have your students read, activities you do, etc.).
Please list any dietary or special conditions that we should know.