Speaker Request Form

If you prefer, you can download a copy of the form to email or print and mail in.

“In all of us there is a hunger, a marrow deep, to know our heritage – to know who we are and where we came from.” Alex Haley

Kol Israel Foundation of Cleveland is pleased to provide speakers and presentations for Holocaust and genocide education. To request a speaker/presentation, please complete this form.

Holocaust Education Outreach Program: Surviving the Holocaust: Our Stories

This program involves an adult child or grandchild of a Holocaust Survivor who present their parent’s or grandparent’s story and videotaped testimony enhanced with authentic historic and person photos (about 20 min. long) into a 30-40 minute presentation. A DVD player or Internet access connected to a projection screen must be available for this program.

Presentations are best suited for grades six and above with some exceptions.

Your Contact Information:

Contact Name
Contact Name
Daytime Phone
Daytime Phone
e.g. school auditorium, other site
Does the site have A/V and Internet capabilities?
Will tech support be available for the presentation?
Books? Films?
If so, what?
What time would you like the speaker to present?
What time would you like the speaker to present?