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Simon Wiesenthal Center
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Glassman Tools for Tolerance®: Special Projects
Request and Information Form

Upon return of this form, FSWC will review your Glassman Tools for Tolerance®: Special Projects opportunities. The information provided will help orient our facilitation staff to your specific needs and concerns to make your program as meaningful and practical as possible, if selected.

Contact Person: Title:
Tel #: Email:
Name of Oranization:
Address:
City Province Postal Code
Web Site Address:
Date(s) Program Requested:
(mm/dd/yy)
Total # Participants per Program:
Location of Program:

I have read and understand the terms and conditions:

Organization Demographics:

Please describe any unique characteristics of the participants that would help us better understand and serve your group.


Community Climate:

Please identify the issues within the school community that contribute to a lack of tolerance (eg. discrimination, staff reluctance to address race relations, antisemitism, homophobia, etc.)


How many and what sort of acts of discrimination or intolerance have been reported in the community you serve?


What kind of support is available to the victims of acts of discrimination or intolerance in your community?


What are the existing policies and initiatives in your organization that address issues of intolerance?


Previous Tolerance Education:

Describe any on-going or previous professional development training with a tolerance/diversity focus and indicate the provider(s).


How were these materials/teaching strategies incorporated into your organization?


Long Term Goals:

What is your organization’s long term plans in terms of accommodating and managing diversity?


Do you have a tolerance / diversity plan? Please explain.


Program Objectives & Expectations:

What do you expect to gain from your participation in the Glassman Tools for Tolerance® program? Please identify your objectives.


Are there any significant issues that the participants may wish to address in a facilitated discussion?


Follow Up:

Identify the person(s) at the highest level in support of this initiative.


How often do you meet together as a group?


What follow-up initiatives are currently planned?