Thank you for your interest in bringing The Butterfly Project to your students. Please complete this application. Deborah Coltin, Executive Director of Lappin Foundation, will contact you after your application has been reviewed.

Date (mm/dd/yyyy)*

Name of person completing the application*

Title*

Email*

Phone*

Name of School or Organization where you want to do The Butterfly Project*

School/Organization Address*

School/Organization City*

School/Organization Zip*

Number of students participating*

Number of teachers participating*

Is this a
school-wide projectclassroom project

Is The Butterfly Project part of a larger unit on the Holocaust?
YesNo

Is there anything else you would like us to know? *

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