Open Enrollment Institute Registration

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.
* required information
Registration 
Contact Information
Legal First Name:*
Legal Middle Name:*
Last Name:*
Birth Date:*(mm/dd/yyyy)
Gender Identity:*
Legal Gender (required for flights only):
Institute Choice and Session Dates:* Journeys In Film | River of Gold: Films for Teaching about Climate Change and Indigenous Rights with Film - Oct. 21-22, 2018
The Teaching Tolerance Curriculum - Oct. 29-30, 2018
The Teaching Tolerance Curriculum - Nov. 18-19, 2018
The Teaching Tolerance Curriculum - Nov. 20-21, 2018
Young Adult Literature that Teaches the Importance of Identity, History, and Choices - Nov. 26-27, 2018
Voices and Choices of Young People during the Holocaust - Nov. 28-29, 2018
Rock Your World: Online Curriculum for Social Action - Dec. 16-17, 2018
The Teaching Tolerance Curriculum - Dec. 17-18, 2018
The Teaching Tolerance Curriculum - Dec. 19-20, 2018
The Teaching Tolerance Curriculum - Jan. 3-4, 2019
The Teaching Tolerance Curriculum - Jan. 30-31, 2019
Young Adult Literature that Teaches the Importance of Identity, History, and Choices - Feb. 11-12, 2019
The Teaching Tolerance Curriculum - Feb. 25-26, 2019
The Teaching Tolerance Curriculum - Feb. 27-28, 2019
The Teaching Tolerance Curriculum - Mar. 25-26, 2019
Voices and Choices of Young People during the Holocaust - Mar. 26-27, 2019
The Teaching Tolerance Curriculum - Mar. 27-28, 2019
The Teaching Tolerance Curriculum - Apr. 15-16, 2019
Voices and Choices of Young People during the Holocaust - Apr. 16-17, 2019
The Teaching Tolerance Curriculum - Apr. 17-18, 2019
The Teaching Tolerance Curriculum - Jun. 11-12, 2019
The Teaching Tolerance Curriculum - Jun. 13-14, 2019
Voices and Choices of Young People during the Holocaust - Jun. 17-18, 2019
Title/Position:*
School/Other:*
School District / Region:*
Grade Level:*
Subject:*
Email:*
Address Line 1:*
Address Line 2:
City:*
County:*
ZIP/Postal Code:*
Phone:*
Cell Phone:
If you are located outside a 50-mile radius from the MOT, are you/your school/district able to cover the cost of transportation?:* Yes
Partially
No
N/A (under 50-mile radius)
What method of transportation will require the grant help cover?:* Airfare
Bus
Ground transportation
None
If you are located outside a 50-mile radius from the MOT, are you/your school/district able to cover the cost of flying?:* Yes
No
N/A (under 50-mile radius)
If flying, please identify a major airport closest to you.:
If you are located outside a 50-mile radius from the MOT, are you/your school/district able to cover the cost of accommodations:* Yes
No
N/A (under 50-mile radius)
How did you learn about this opportunity? (Be specific, please):*
Do you have prior experience in the topic area of the institute?:*
What are your plans to apply the learning after you leave?:*
Will you require any special assistance?:*
Simon Wiesenthal Center Updates: Yes
No
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.

By submitting this registration form I agree to the following:* I understand that if I am registered for this open enrollment institute, I am making a commitment to attend and participate fully in the two-day program.

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.

        

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