Inquiries - MIT Hacking Medicine (2018-2019)
Please use this form to submit inquiries for partnering with MIT Hacking Medicine in planning healthcare-focused hackathons and similar events. We will get back to you as soon as possible, but do allow as much as 1-2 weeks for response. We look forward to working with you!
Email address *
Name of Your Organization *
Description of Organization *
Point-of-Contact Name *
Point-of-Contact Position / Title / Role *
Point-of-Contact Phone Number *
Tentative dates of hackathon (Please list in ranked order list if considering multiple dates) *
For what type of event are you seeking partnership with MIT Hacking Medicine? *
Required
What kind of partnership or assistance are you seeking from MIT Hacking Medicine? (Please provide as much detail as possible) *
How did you hear about MIT Hacking Medicine? *
Required
Have you (organization or individual) previously worked with MIT Hacking Medicine? If so, in what capacity, and who was your MIT Hacking Medicine point-of-contact? *
Other information / questions you have about this potential event, partnership, links to your group/event, etc ... that you would like to include to help us learn more about your organization and event.
If you have any documents (for example: logistical planning documents, marketing documents, media from past event) already about this potential hackathon or event, feel free to upload so we can learn more about your organization and event!
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