BSIC Hackathon Registration Form
This hackathon seeks to bring together designers, developers, entrepreneurs, and creative technologists to build out ideas that address the challenges explained in more detail on our website. This application is to ensure that there is a diverse representation of experience and skillsets at the hackathon.

We believe technology should be built by people with different backgrounds and perspectives. We welcome absolutely everyone to join as a participant and would love to have a diverse, comfortable creative environment for everyone!
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First Name *
Last Name *
What is your location? *
What is the major metropolitan area closest to your location?
Where do you work?
What is your title?
What is your e-mail address? *
What is your Twitter handle?
What is the URL for your LinkedIn profile?
What is the URL for your Github profile?
Although this is a virtual hackathon, are you interested in participating in an in-person event as well?
Clear selection
Which target sector are you most interested in? *
Required
Do you have a team? *
If you don't have a team already, do you need help finding/creating one? *
Select the discipline(s) that best applies to your work or your interest, as it relates to this hackathon *
Required
What (if any) development skills do you have?
(e.g. SolidityHacking participants have a wide variety of skills and expertise, please note that you do not have to be a developer to participate.)
What other relevant experiences and/or skills could you bring to a project team (e.g. audience development, video post-production, project management, etc.)? *
What is your gender?
Clear selection
If you identify with an underrepresented group, feel free to mention that here.
This could include but is not limited to ethnic minority, LGBTQI, socio-economic status
Submit
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