Mentor Application - Jefferson Health Hack 2018
Mentors are essential to the success of a hackathon. A Mentor can be anyone who is well-versed in some aspect of healthcare (clinical or administrative), entrepreneurship, design, engineering, and computer development and is excited about helping other innovators in their process.

As a mentor, you will have a variety of roles throughout the weekend - including providing feedback to teams as they work, working a shift at our ‘Genius Bar,’ listening to practice pitches, and judging final presentations. On top of all of that, you will have a front row seat to all of the innovative ideas that come out of the event!

Committing to become a mentor does NOT mean that you will have to be present for the entirety of the weekend.
We anticipate that mentors will be most needed on the afternoon and evening of Saturday, November 3th while the teams are hacking.

Please submit the following form if you are interested in being a mentor and/or judge at the Jefferson Health Hack 2018 happening Nov 2-4, 2018. It is not required that you are available for the entire weekend but please feel free to fill out as much availability as you like!

We invite all mentors to join us for the opening reception and problem pitches on Friday evening. Mentors are needed for 3 mentor blocks on Saturday. Practice pitch advisors and judges will be needed for Sunday.

Email address *
First Name *
Your answer
Last Name *
Your answer
Were you referred by anyone to join our mentor team? If so, please list their name.
Your answer
When would you be available to offer your time? *
Required
What is your background (personal, educational, professional, etc.)? *
Your answer
What skills or experience are you excited to share with participants? *
Your answer
What track at Jeff Health Hack interests you most? *
Are you interested in being a judge?
To maintain objectivity, judges cannot act as mentors. Judges must be available from 1pm-5pm on Sunday.
Are you interested in advising practice pitches?
Practice pitch advisors must be available Sunday morning from 9am-Noon
Are you interested in running a breakout session on Saturday afternoon?
Check all that apply:
Do you have any allergies or dietary restrictions?
Your answer
What is your T-Shirt size? *
Required
A copy of your responses will be emailed to the address you provided.
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