Participant Application

MIT Grand Hack 2025 Participant Application

Fields marked with an * are required

Please fill out the application below. Each individual must submit a separate application, as we do not accept a team application.
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The deadline for applications has been extended to March 18th @ 11:59PM EST. We will send out acceptances on a rolling basis, so we encourage you to submit your application as early as possible. Upon acceptance, we will send you an Eventbrite invitation for RSVP and registration purposes. You will then have the opportunity to rank the three tracks in the RSVP form; we cannot guarantee placement in your first-choice track.

— The MIT Hacking Medicine team

Note: If you require a letter to obtain a visa, please reach out to the MIT Hacking Medicine Team

Note: If you are having trouble submitting the application on our website, please use this https://forms.gle/wJStjgASQvhmH59P6.

Contact details

Name *

Last Name

Email *

Age *

You must be 18+ to participate.

Less than 1818-2425-3435-4445-54Over 55Prefer not to sayPreferred Pronoun *He/Him/HisShe/Her/HersThey/Them/TheirsA pronoun not listedNo pronoun preference/prefer not to sayUse name onlyCountry of Residence *

State *

City *

Will you be traveling from outside the United States to attend this event? *YesNoYes, and I require a visa.Will you need financial support in order to attend this event? (We may have a limited number of travel scholarships available.) *If you answered "yes" to the question above, please elaborate on why you require financial support and what expertise, diversity of thought, resources, etc. you can offer that would enhance Grand Hack.What is your occupation? *StudentProfessional/Non-Student

Job Title *

Please fill this out if you selected "Professional/Non-student" in the previous question. Otherwise, put "N/A".

School/Company Name *

What is your primary technical background? *Business / FinanceHealthcare Provider (Physician, Nurse Practitioner, Physical Therapist, EMT, etc.)Designer (Product, Graphic, Print, etc.)Software Professional (Developer, IT Professional, etc.)Engineer (Electrical, Mechanical, Biological, Chemical, etc.)Data Engineer / Data ScientistScientist (Life Sciences, Physics, etc. )Writer / Journalist / Photographer / Media SpecialistPatient / Patient's FamilyOther

If selected Other, please explain below: *

What is/are your additional technical background areas?Business / FinanceProvider (Physician, Nurse Practitioner, Physical Therapist, EMT, etc.)Designer (Product, Graphic, Print, etc.)Software Professional (Developer, IT Professional, etc.)Engineer (Electrical, Mechanical, Biological, Chemical, etc.)Data Engineer / Data ScientistScientist (Life Sciences, Physics, etc. )Writer / Journalist / Photographer / Media SpecialistPatient / Patient's FamilyWhich of the following best describes you? *American Indian or Alaska NativeAsianBlack or African AmericanCaucasian or WhiteNative Hawaiian or Other Pacific IslanderOtherPrefer not to sayIf you selected "other" to the previous question, please elaborate if you feel comfortable doing so.

MIT Grand Hack 2024 Participant Application

Fields marked with an * are required

Please briefly describe your experience and skills. *

In 200 - 500 characters, please share a little bit more about your background so we can ensure a diversity of skills at the event.

500

of 500

Character(s) left

Tell us about a healthcare problem that you care about (50-200 words). *

The issue can be as broad or narrow as you would like.

What are three things you are hoping to gain from this experience? *

In 300 characters, please tell us more about why you are applying to GrandHack so we can better tailor the hack towards your interests.

300

of 300

Character(s) left

HackMed greatly values diversity and inclusion within our workspaces. Numerous studies cite the importance of having a diverse and inclusive workspace to promote creativity, productivity, and knowledge sharing. *

In ~150 words, please share a time when you worked with a colleague with a different background and perspective from your own. How did you make sure to be inclusive of their views and identity?

Can you make the entire event? *

The event takes place from 4pm-9pm Friday (4/19), 8am-9pm Saturday (4/20), and 8am-5pm Sunday (4/21). Please note that these times are approximate.

YesNoWhen you attend the MIT Grand Hack 2024, you will enter an area where photography, audio and, video recording may be taken. By attending this event, you consent to photography, audio, and video recording and its release, publication or reproduction to be used in the future. Do you acknowledge this? *YesLinkedIn URL (Optional)Resume Upload *

If you're having issues with the upload link above, please use this dropbox link to submit your resume.

Upload resumes hereI have uploaded my resumeDo you agree to share your resume with potential sponsors? *YesNoPlease select which tracks you would like to be considered for. See track descriptions on the website: *

Track descriptions: https://grandhack.mit.edu/mit-grand-hack-2024/

Healthy Living with Everyday ObjectsWomen's HealthAging/Elderly PopulationsFor the tracks which you selected above, please rank them in your order of preference with a brief explanation for why you made those choices. *

MIT Grand Hack 2024 Participant Application

Fields marked with an * are required

This information will be used for post-hack analysis and will not be taken into consideration for participant admission.

Please check off any technical skills you are proficient in.Front-end (includes UI/UX) / Back-end DevelopmentData Analytics / MiningBusiness / Market AnalyticsEconomic AnalyticsBusiness Development / MarketingScientific Research and DevelopmentManufacturing and Quality ControlRegulatory and Risk ManagementOperations and Supply Chain

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MIT Grand Hack 2025 Participant Application

Contact details

MIT Grand Hack 2024 Participant Application

MIT Grand Hack 2024 Participant Application

Thank you For Your Participantion-! Your submission has been received!