MIT ATHack 2018 Co-designer Interest Form
Tell us about yourself to be considered as a client for AT Hack! Please respond by January 28th, 2018!
Name *
Your answer
Email Address *
Your answer
Phone number *
Your answer
Are you available the evenings of February 13 and March 3, 2018 and can get to MIT's campus? *
Describe yourself, including about your disability *
If you are a student, which school do you attend?
Your answer
Describe a problem you face *
In the past, problems have included having trouble spreading cream cheese on bagels, navigating stores, turning pages of music
Your answer
If you have a solution in mind to the problem, describe it to us! *
We are not expecting you to have a solution-the teams work with you think of a potential solution!
Your answer
How would you like us to contact you? *
Additional information, questions, comments
Your answer
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