PERSONAL INFORMATION

Age *

Not in the US? Country * Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cabo Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao North Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Gender

IDENTITY & BACKGROUND

This helps ensure inclusive representation.

Do you identify as Roma? * Yes No

Are you part of any other marginalized communities (e.g., LGBTQ+, neurodivergent, disability)? Please specify if you feel comfortable:

INTEREST & MOTIVATION

Briefly introduce yourself and explain your interest or experience with the topic of Roma holocaust and remembrance.

SKILLS & EXPERIENCE

Do you have experience with digital storytelling (audio/video podcasts)? Briefly explain *

Do you have experience with activism or community organizing around Holocaust remembrance?

PARTICIPATION PREFERENCES

Which podcast type(s) are you interested in? * Audio Podcasts ( critical conversations between 2 participant) Video Podcasts (interactive, site-based discussions with 3 participants)

Select the Audio Podcast topic(s) you are interested in (select all that interest you) Remembering Together: Youth Perspectives on the Roma Holocaust Erased and Forgotten: How Roma Voices Were Silenced Intergenerational Memory: Passing Down Stories of Resistance Digital Archives and Storytelling: Roma Youth Documenting History Lessons from History: Why Remembrance Matters Today Beyond Commemoration: Activism and the Future of Memory

Select the Video Podcast topic(s) you are interested in (select all that interest you) Walking Through Memory: Visiting the Sinti and Roma Memorial in Berlin The Power of Names: Roma Victims and the Struggle for Recognition Roma Resistance: Stories of Survival and Defiance Intersectionality in Memory: LGBTQ+ and Roma Holocaust Narratives Rewriting the Narrative: Roma Youth Take Over the Museum The Future of Remembrance: How Do We Keep the Memory Alive?

Briefly explain your experience or connection with the selected topics *

COMMITMENT & AVAILABILITY

Are you available to travel to Berlin for one podcast recording sessions between June and September (dates to be confirmed)? * Yes No

ACCESSIBILITY & ADDITIONAL INFORMATION

Do you have any accessibility needs or special requirements?

Consent * I confirm that I am between 16 and 30 years old and identify as Roma or Sinti. I understand this is a paid project and I commit to active participation. I confirm that I am legally able to issue invoices to receive payment.