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!

Email address *
First Name *
Your answer
Last Name *
Your answer
What is your location? *
Your answer
What is the major metropolitan area closest to your location?
Your answer
Where do you work?
Your answer
What is your title?
Your answer
What is your e-mail address? *
Your answer
What is your Twitter handle?
Your answer
What is the URL for your LinkedIn profile?
Your answer
What is the URL for your Github profile?
Your answer
Although this is a virtual hackathon, are you interested in participating in an in-person event as well?
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.)
Your answer
What other relevant experiences and/or skills could you bring to a project team (e.g. audience development, video post-production, project management, etc.)? *
Your answer
What is your gender?
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
Your answer
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