Mentor Interest Form
Thank you for your interest in participating in the fourth annual South Side Civic Scopeathon as a mentor! Please complete the form below, and register for a ticket on Eventbrite at https://bit.ly/2zmxuSj if you haven't already!

The event will take place from Friday-Saturday, October 12-13, 2018 at the University of Chicago.

Friday, October 12th - 4:00pm - 8:00pm
Saturday - 9:00am - 7:30pm @ Ida Noyes Hall

The weekend will consist of a Friday workshop on data and technologies' applications followed by a keynote speaker, and an all day scoping event with South Side organizations on Saturday.

Mentors, or "scoping coaches," will float around the room on Saturday, October 13th in an advisory capacity and lend additional knowledge to teams throughout the day.

Your Information
Please provide information about yourself, your background, and how you learned about Scopeathon.
First Name *
Your answer
Last Name *
Your answer
Organization
Your answer
Email Address *
Your answer
Your Background *
Required
Is there anything else about your background you'd like to share with us to help us best utilize your skillset?
Your answer
How did you hear about Scopeathon? *
Availability During Scopeathon Weekend
Please let us know what portions of the two-day Scopeathon you would like to participate in.
I am interested in supporting the student-only workshop on machine learning for social good before the keynote address on Friday, October 12th. *
Local mentors interested in attending this workshop preceding the keynote address are welcome to join and briefly contribute any best practices or helpful experiences they would like to share with students.
I am interested in attending the keynote address on Friday, October 12th. *
Local mentors have the option of joining us for the Friday keynote address. Please let us know if you would like to attend!
I am available to act as a Saturday scoping coach: *
We hope to have 3-5 scoping coaches in the room at all times on Saturday, but understand that you may not be able to spend the whole day with us! Please use this section to indicate your availability. All Saturday shifts include a meal, snacks, and tea or coffee.
Required
I have registered for a 2018 South Side Civic Scopeathon ticket on Eventbrite (https://bit.ly/2zmxuSj) *
I have a food allergy or sensitivity.
Mentor Participation Terms Acknowledgement *
Required
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