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*Teacher Name (First and Last)

*Teacher Email

*Teacher Cell Phone Number

*Name of School

Grade Level You Are Reserving For

*Name of Georgia County (if outside of Georgia, indicate your state)

*Number of Teachers (including me) That I Am Requesting Programming For

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*Email Addresses of All Teacher Participants (Include Yourself)

*Number of Students (Total)

*Program(s) Requested (Please Note: Each checkbox is a separate program)

World War I: The War to End All Wars?Voices from the Second World WarThe Rise of NazismBeyond Rosie: Women in World War IIThe Tuskegee Airmen: Flying for Double VictoryIt Started With Words: An Introduction to the HolocaustGeorgia Goes to WarOut of War Comes War: The Cold War in Europe

*Dates Program(s) Requested

*Please include the class period schedule for each teacher below. If you are only requesting for one class, indicate your desired time for the program.

*Video Conferencing Software Preferred

ZoomMicrosoft TeamsGoogle Meet

Do All of Your Students Have a Device?

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Is there anything we should know that might help us prepare to work with your students?

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