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School Visit Form

Use this online form to request a school visit from CMHEC. Or, you may download the Word doc version or Adobe PDF version and fax to 312-266-8223, mail to 60 W. Walton, Chicago 60610, or email to info@chicagohistoryfair.org.

Contact Person:

Today's Date:

Email:		Cell Phone:
School:		Home Phone

School
Street Address:

School City:

School State:

School Zip:

School Phone:

BEST WAY TO CONTACT: Email Cell Phone Home Phone School Phone

(Please be sure to provide the appropriate contact information elsewhere on this form)

Best TIME to Contact:

Dates requested (offer three possibilities—CMHEC will confirm the open date)

1st

2nd

3rd

Time Factors

History Fair now uses a powerpoint-based presentation for its introductions. Therefore, we do not travel from room-to-room but request that you reserve a central room for the presentations. In order to provide an effective, interactive presentation, however, CMHEC staff still prefers to do presentations to 1-2 classes (20-40 students) at a time rather than large groups in an auditorium. Each History Fair Partner is allotted one school visit. With that in mind, please address the following:

Number of presentations requested comprising students, from number of classes, belonging to teachers.

First Session Begins at :

Last session ends at:

Length of presentation period: (minutes)

Grades participating:

Name of course(s):

Will they see the “overview” video before presentation? (Highly recommended)

Yes No

CMHEC now offers an edited version of the original video (20 min) which leaves time for class discussion or viewing of a sample documentary and sample performance. If you would like to order a copy, it costs $5 plus $3 for shipping.
Please indicate if you want a copy sent to you: Yes No

Is HF required? Yes No

Is NHD theme required? Yes No

What kinds of projects are students allowed to do? (Check all that apply)
Exhibit Paper Documentary Performance ALL

Type of Visit:
(If the Visit type is something other than Introduction, replace the text above)

Are these students experienced with the HF? Yes No

How many of them previously participated in HF?

Does your school have a computer and lcd projector available? Yes No

Comments:

What are the first three letters of our domain name ( the part after the www.)?

Note: This last question is necessary to prevent automated spam robots from abusing this form.
Thank you for your patience.

Thank you for your attention to each question.

This form is only a REQUEST — CMHEC staff will contact you to confirm date/times

Please double check your selections (and consider printing this out for your own records) before hitting the Submit button.