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1-3 December 2017
Waiting List.
What's your full name? *

How do you identify yourself?

Generally... *

If we've not got it covered, please make sure you fill out the "other" option and click the checkbox on the right side.


What exactly is your field of expertise or specialism?
...and where?

If applicable, please provide the organisation, company or institution, and the place.

e.g. Charité Universitätsmedizin, Berlin
Is there anything else you'd like to share with us? *

Project or personal websites, LinkedIn, GitHub etc. Please add your URL followed by space to enter multiple sites.
How would you like to contribute?

Are you thinking of pitching your idea?

{{answer_X5yu3wDUC6Ls}}, now in a little more detail...

We will use your answers to best decide if you're a fit for this health hackathon. We are looking for people enthusiastic about digital health regardless of experience, so let us know some particulars about what makes you tick.
How would your unique background, both professionally and personally, be an asset to a team? What skills and/or experiences could you provide? *

Maximum 1000 characters.
If this is your first hackathon, welcome! What motivates your participation?

If you have attended a hackathon before, tell us a bit about your previous experiences. For example, what did your team accomplish?


Maximum 1000 characters.
Thanks for applying!

As we are in the last stage of finalizing participant places, you will only be contacted if a spot becomes available.
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