Speaker Application Form

Full name

NextGen Status (please check all that apply)

I am a 2G (child of a survivor)

I am a 3G (grandchild of a survivor)

I am a 4G (great-grandchild of a survivor)

Other

Phone number

Email address

City

Country

State

Website (optional)

What is your connection to Holocaust survivors/Nazi victims? (e.g., child, grandchild, other)

Where were these Holocaust survivors/Nazi victims from, and what was their experience?

How did you learn the stories of your family members who were affected by or connected to the Holocaust?

Do you have any photos, documents, or artifacts related to those family members who were affected by or connected to the Holocaust?

What is your general availability?

Do you feel comfortable speaking in person and/or on Zoom?

Please describe your public speaking experience, both generally and regarding the Holocaust.

Do you have a presentation? Did you receive training and/or feedback on this presentation?

Please include any other pertinent information.

How did you hear about this Speakers Bureau?