HealthHacks Mentor Registration
November 4 - 5, 2017
VCU School of Engineering East Atrium
Contact Brandon Gaston (gastonbt@mymail.vcu.edu) or Joshna Seelam (seelamj@vcu.edu) with any questions
Email address *
First Name *
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Last Name *
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Email *
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Department *
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When are you available? Please select all available times and you will be emailed a time confirmation *
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Are you interested in being contacted about judging from 1:00 - 3:00 PM on Sunday, November 5th? *
Dietary Restrictions *
T-shirt size?
Please let us know about your relevant experience and any specific skills (clinical or technical) that you can provide.
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Do you have a problem that you were hoping to propose at the event? Please let us know below and we will include it in the problem options for students to choose from
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A copy of your responses will be emailed to the address you provided.
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