Holocaust Interview Inquiry 1 Start 2 Complete Submitter Information First Name * Last Name * Email * Phone Number Submitter Relationship - None -IntervieweeSpouseSiblingChildGrandchildCaretakerFriendOther If Submitter Relationship is "Other", please specify Interviewee Information Interviewee First Name * Interviewee Middle Name Interviewee Last Name * Interviewee Email Interviewee Phone Gender - None -MaleFemaleNon-binary Birthdate Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Language ArabicArmenianBosnianBulgarianCroatianCzechDanishDutchEnglishFarsiFlemishFrenchGermanGreekHebrewHungarianItalianJapaneseKhmerK'iche'KinyarwandaKurdishLadinoLatvianLithuanianMacedonianMandarinNorwegianPolishPortugueseRomaniRomanianRussianSerbianSlovakSlovenianSpanishSwedishTurkishUkrainianYiddish Experience Group - None -Jewish SurvivorRescuer and Aid ProviderLiberator (World War II)Sinti and Roma SurvivorPolitical PrisonerMiscellaneous (World War II)Jehovah's Witness SurvivorWar Crimes Trial ParticipantNon-Jewish Forced LaborerEugenic Policies SurvivorHomosexual Survivor Country * ArgentinaArmeniaAustraliaAustriaBangladeshBelarusBelgiumBoliviaBosnia and HerzegovinaBrazilBulgariaCanadaChileColombiaCosta RicaCroatiaCyprusCzech RepublicDenmarkEcuadorEnglandEstoniaFinlandFranceGeorgiaGermanyGreeceGuatemalaHungaryIrelandIsraelItalyJapanKazakhstanLatviaLebanonLithuaniaMacedoniaMexicoMoldovaMoroccoNetherlandsNew ZealandNorwayPeople's Republic of ChinaPeruPolandPortugalRomaniaRussiaRwandaSlovakiaSloveniaSouth AfricaSouth SudanSpainSwedenSwitzerlandSyriaU.S.A.UkraineUnited KingdomUruguayUzbekistanVenezuelaYugoslaviaZimbabweOther State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Province City Postal Code Biography * Please briefly describe the interviewee's general experience during World War II/the Holocaust, including place and country of birth. Leave this field blank