MIT Hacking Medicine Hack-a-thon!
Sign in to Google to save your progress. Learn more
Hacking Medicine at MIT
First Name *
Last Name *
Email *
Age *
Gender *
What is your background? *
Select all that apply
Required
The event will take place April 4th from 7PM - 10PM and April 5th and 6th starting at 8AM. To enable the most progress, we want you to participate fully throughout each day. Are you committed to attending all 3 days? *
If not, why?
What skills can you bring to a hackathon team?  (These can include, but are not limited to, technical, clinical, and business skills)   *
Describe a problem in healthcare you would like to solve? *
(Every idea starts with a problem)
Do you have any ideas to propose working on and finding a team for? *
Optional - you do not need an idea to participate in the hackathon. We will not share these ideas outside of the Hacking Medicine team.
Do you already have a team in place?   *
Optional – a preformed team is not required to participate in the hackathon.
How did you find out about the event? *
Required
Do you have any dietary or food restrictions? If so, please discuss them below.
Do you need a floor or couch to crash on? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms