HAX Member Application
Thanks for your interest in joining the HAX team! We'd love to have you on board. Let's get started!

[Applications close November 10th at 11:59pm PST.]
First Name *
Last Name *
Phone Number *
Email Address *
Be sure it's one that you check regularly!
Location *
[City, State] if you live in the U.S. or [City, Country] otherwise!
Grade *
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