Holocaust Interview Inquiry Form

Submitter Information

Title

First Name

Last Name

Email

Phone Number

Relationship To Interviewee

* = required field

Interviewee Contact Information

Interviewee Title

Interviewee First Name

Interviewee Last Name

Interviewee Email

Interviewee Phone

Gender

Birth Month

Birth Day

Birth Year

Interviewee Address

Country

State/Province

If State/Province does not apply, please choose NA
found under your country’s name.

Enter country & state

City

Street Address

Postal Code

Interviewee Preferred Language

Other

Interviewee Experience Details

Please provide a short biographical description of the interview candidate's experiences.

Biography

Interviewee Experience Group (select all that apply)

DescendantEugenic Policies SurvivorGay Male SurvivorJehovah's Witness SurvivorJewish SurvivorLiberatorMiscellaneousNon-Jewish Forced LaborerPolitical PrisonerRescuer and Aid ProviderScholarSinti and Roma SurvivorWar Crimes Trial Participant

Additional Information

How did you hear about the Shoah Foundation?

Other

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