Sana@MIT Hacking Health Hackathon
Thank you for your interest in attending the Sana@MIT Hacking Health Hackathon on August 2nd and August 3rd. To learn more about the event, including participation guidelines, check out our informational page here: http://tinyurl.com/zjm7m7k

Please complete this brief form to provide information about your interest and your group of high school students. An event organizer will follow up with you to schedule a phone call.

You can also reach out to Dr. Yoon Jeon Kim at yjk7@mit.edu with further questions.

First Name:
Your answer
Last Name:
Your answer
E-mail address:
Your answer
Phone number:
Your answer
School, Program or organization name:
Your answer
What is the best time of day to reach you?
Your answer
Are you and your group able to attend both sessions on August 2nd and 3rd at the MIT Innovation Center?
Are you able to participate in all activities and support in facilitating your group's experience?
How many students are you interested in bringing to the event (the event can accommodate around ten)?
Your answer
How many adult colleagues / chaperones would be attending this event with you (The event can accommodate up to three)
Your answer
Do your students have any needed modifications or accommodations to help ensure this event is an accessible and positive experience for them?
Your answer
What do you hope to gain for you and your students through their participation in the Sana@MIT Hackathon?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms