Digital Curriculum Trunk Request Form

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Thank you for your interest in reserving a digital curriculum trunk from Holocaust Museum Houston. Trunks are available on a first-come, first-served basis and are only confirmed once this form is submitted and you have received a confirmation from the Museum staff.

Each trunk case includes 30 mini iPads. This case weighs approximately 60 lbs. and the dimensions are 26 inches wide x 20 inches deep by 15 inches high. There are no staff members available to assist in loading or unloading at the Museum.

Contact Name:

Personal E-Mail:

Name of School:

School E-Mail:

School District (if applicable):

Are you a Title I school?

School Street Address:

School City / State / Zip:

Daytime Phone:

Cell:

Which DCT are you reserving?

Bilingual Trunk

English Trunk

Clear selection

Will you require the trunk to be shipped?

Yes

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Estimated number of students to use the trunks:

Number of teachers using the trunks:

Grade range of students using trunks:

Have you used our digital trunks before?

Yes

Clear selection

Please list possible dates for consideration, noting the borrowing period is three (3) weeks:

Have your students toured Holocaust Museum Houston before the use of the trunks? Or, do you plan to visit after using the trunks?

Yes

Clear selection

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