Community/Partners Register Here Educator Registration Form
Students and other visitors should not register here. Go to the MY HERO Start Page to start creating your digital media toolkit!

Your Info
First Name:
Last Name:
Email:
Country:
Phone:
Students (If applicable)
Grade Level(s):
Ages:
# of Students:
Primary Language:
	Ages of the participants involved with your project: 0 to 10 11 to 20 21 to 30 31 to 40 41 to 50 51 to 60 Over 60

School Info
School:
Address:
City:
State:
Postal Code:
Phone:
Website:
Account Setup Info
Username:
Password:
Password (repeat):
Groups:	Learning Circle

In what subject areas are you using MY HERO? (Check all that apply)
	Multiple Subjects (Elementary Education) Language Arts History/Social Studies Fine Arts/Multimedia Arts Science Mathematics Computer Science Foreign Language ESL/EFL Vocational Education Special Education Other

What are your objectives for using MY HERO? (Check all that apply)
	Teach students to navigate the Internet Develop students' research skills Develop students' writing/communication skills Teach students to gather and synthesize information Teach students to download/upload images and/or audio Teach students to build a webpage Teach students to produce a short film Character education/cultivate cross-cultural appreciation Other

Mission for Organization or Special Project

How do you plan to use The MY HERO Project?

Please estimate the technology proficiency level of your students BEFORE using MY HERO. The total should equal 100%.
Proficiency Level	Description	% of Class
Below Basic	No idea how to use a computer
Basic	Can search for information online
Fair	Can access emails and download information
Good	Can upload images, films, and audio.
Excellent	Can make webpages and films, completely proficient in all areas.

How did you find out about MY HERO?
	Conference Internet Search Another Teacher Student Other (please explain)

Number of students receiving free or reduced lunch.

Number of students with disabilities.

Indicate the number of participating students in each ethnic group.
	Alaskan Native  American Indian  Asian  Pacific Islander  Hispanic  Black or African American  White  Multiracial  Other  Unknown