Hack the Future // Speaker and Mentor Nomination Form
Halito! Thank you for your interest in nominating a speaker or mentor for the upcoming Hack the Future: Between Earth & Sky Hackathon, July 13-15, 2018 on the Choctaw Reservation. Please fill out the form below with as much detail as you can, as it will give us the information we need to review your nomination and reach out to invite candidates to participate in the event.
Email address *
Your First Name *
Your answer
Your Last Name *
Your answer
Tell Us About Who You Are Nominating
Candidate Speaker or Mentor's First Name *
Your answer
Candidate Speaker or Mentor's Last Name *
Your answer
Organization *
Your answer
Title *
Your answer
City *
Your answer
State *
Your answer
Are you nominating this person as a Speaker, a Mentor, or both? *
Why are you nominating this person? Please describe what inspires you about him or her, as well as his or her relevant skills and expertise. *
Your answer
Is there anything else you would like us to know?
Your answer
Candidate Speaker or Mentor's Email Address *
Your answer
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