Hack This Fall 4.0 Pre-Registration Form 🐿️

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Email *

First Name *

Last Name *

Phone number *

School/University *

What is the highest level of formal education that you have completed? *

Less than Secondary / High School

Secondary / High School

Undergraduate University (2 year - community college or similar)

Undergraduate University (3+ year)

Graduate University (Masters, Professional, Doctoral, etc)

Code School / Bootcamp

Other Vocational / Trade Program or Apprenticeship

Post Doctorate

I’m not currently a student

Prefer not to answer

Other:

What is your major / primary area of study? If you already graduated, what was your major / primary area of study? Select all that apply.

Choose as many as you like

Computer science, computer engineering, or software engineering

Another engineering discipline (such as civil, electrical, mechanical, etc.)

Information systems, information technology, or system administration

A natural science (such as biology, chemistry, physics, etc.)

Mathematics or statistics

Web development or web design

Business discipline (such as accounting, finance, marketing, etc.)

Humanities discipline (such as literature, history, philosophy, etc.)

Social science (such as anthropology, psychology, political science, etc.)

Fine arts or performing arts (such as graphic design, music, studio art, etc.)

Health science (such as nursing, pharmacy, radiology, etc.)

Other (please specify)

Undecided / No Declared Major

My school does not offer majors / primary areas of study

Prefer not to answer

Other:

Country of residence *

Do you identify as part of an underrepresented group in the technology industry? *

These next few are optional demographic information

Gender *

Which of the following best describes you? *

Choose as many as you like

Asian Indian

Black or African

Chinese

Filipino

Guamanian or Chamorro

Hispanic / Latino / Spanish Origin

Japanese

Korean

Middle Eastern

Native American or Alaskan Native

Native Hawaiian

Samoan

Vietnamese

White

Other Asian (Thai, Cambodian, etc)

Other Pacific Islander

Prefer Not to Answer

Other:

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MLH Code of Conduct: I have read and agree to the MLH Code of Conduct. *

YES

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Event Logistics Information: I authorize you to share my application/registration information with Major League Hacking for event administration, ranking, and MLH administration in-line with the MLH Privacy Policy. I further agree to the terms of both the MLH Contest Terms and Conditions. *

I accept

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Communication from MLH: I authorize MLH to send me an email where I can further opt into the MLH Hacker, Events, or Organizer Newsletters and other communications from MLH *

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