The Long March to Freedom

School Name

School quintile

Select from school quintile options

School phone

School e-mail

Full physical address of the school

First Name

Last name

Phone number

Email address

Grade of learners

Number of learners

Number of educators

Are the learners studying History as a subject?

Yes

No

Preferred Visit Dates:

1st Choice:

2nd Choice:

Please describe your school.

(e.g., Do you cater for special needs? Do you serve a community with specific challenges? Any other relevant information.)

Why do you think a visit to Long March to Freedom will benefit your learners? What would you like them to take away from the visit?

Anything else you would like to tell us about your school or the learners?

By submitting this application, you acknowledge and commit to:

Furthermore, I acknowledge and accept that my application does not guarantee a sponsored visit to the Long March to Freedom exhibition.

Yes

No

APPLY FOR A SCHOOL VISIT