Welcome to the HackMed application form! Let's get started.
start
 
What is your first name? *

 
What is your last name? *

 
What is your email address, {{answer_HMvleOPWJv9R}}? *

 
What is your phone number, {{answer_HMvleOPWJv9R}}? *

 
If you previously selected OTHER, please type the full name of your school here.

 
Are you an undergraduate or postgraduate student?

If you are neither, please select "Other" and specify.

 
What are you coming to HackMed as, {{answer_HMvleOPWJv9R}}? *


 
What is your T-shirt size, {{answer_HMvleOPWJv9R}}? *


 
Do you have any dietary requirements, {{answer_HMvleOPWJv9R}}? Please state them below. *

Eg: religious, medical or otherwise. This is so we can order food that suits everyone's needs.
 
Why do you want to be part of HackMed, {{answer_HMvleOPWJv9R}}? *

In 100 words or less.
 
What has been your biggest challenge you've faced academically to date and how did you deal with it? *

In 150 words or less.
 
Do you agree to the MLH Code of Conduct? *

We're strongly enforcing this at HackMed. Please have a read of it here: https://static.mlh.io/docs/mlh-code-of-conduct.pdf
     
 
Data Sharing Notice: I agree to the terms of both the MLH Contest Terms and Conditions (https://github.com/MLH/mlh-policies/tree/master/prize-terms-and-conditions) and the MLH Privacy Policy (https://mlh.io/privacy). Please note that you may receive pre and post-event informational e-mails and occasional messages about hackathons from MLH as per the MLH Privacy Policy. *

     
Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform