The information you provide will be used only for its intended purpose. Submitting information is strictly voluntary. By doing so, you are giving this web site your permission to use the information for the intended purpose. If you do not want to give this web site permission to use your information, simply do not provide it. We do not collect information for commercial marketing. We will protect the information you provide.
Instructions for each field:
First Name is required. Example: John
Last Name is required. Example: Smith
The Title is required. Must be selected from the list.
The Institution is required. Example: Harvard University
Street address is required. Example: 1000 Mass Ave
City is required. Example: Cambridge
Zip is required if the country is the USA Example: 02138
State is required. **Note the Country has to be Selected First
The Country is required. Must be selected from the list.
Phone is required, enter numbers Only. Example Please enter only: 6174967941
E-mail is required. Example: JohnSmith@msn.com
Please enter a password that you will be able to remember easily.
Please RE-enter the password for confirmation.
Age is required, enter numbers Only. Example: 18
Gender is required, Must be selected from the list.
Student Grade is selected based on this teacher account.
Number of student accounts is selected based on this teacher account.
(Please note: Other Worlds is a research and development project designed to improve high-school science education by providing teachers and their students with access to a network of powerful educational telescopes. Since observing time is limited, priority for access will be given to teachers and other educators.
To receive a Guest Code, contact Susan Sunbury, email@example.com click here for details.)