Registration and Sign-Up Form for MY Hackathon!

MY Hack/YMP-IT DUAL PURPOSE SIGN-UP FORM FOR ALL!

Salaam and welcome! This form serves dual purposes, allowing registration for both the Muslim Youth Hackathon on 12-13 July 2025 at the Islamic Center of Maryland (ICM), Gaithersburg, Maryland and the Young Muslim Professional-Innovation Tank (YMP-IT) events. It is also used for signing up as a mentor, volunteer, or judge. Some entries are specific to YMP-IT registration. Please complete the form and contact us for further details. Thank you for joining our technology-driven problem-solving initiative for social good! For questions, please contact: my-hack@mafiq.org
EVENT DESCRIPTIONS

MYH is a 36-hour, gender-separated design sprint where participants work together to build creative solutions for social good using innovative technlogy. It includes meals, fun night activities, and an overnight stay with little to no sleep.

For details, please refer to: MYH Handbook (TBU).

Event duration: 9 am July 12 to 5 pm July 13.

Attendance at pre-event workshops is mandatory.

The address is: 19411 Woodfield Rd, Gaithersburg, MD 20879

Registration fee (if not paid): $50 per person (Visit: https://mafiq.org/my-hack-home/ and press DONATE)

MY HACK and YMP -IT Explained

Click to Watch: YMP-IT Explained

Want to learn about My-HACK. Click to Review MY HACK 101
NAME*

First NameLast Name
Enter and Verify your Email*
PHONE NUMBER*
Please enter a valid phone number.
For which event you would like to register?*
In what capacity you would like to participate?*
What is your current education status?*
Select your terminal degree/Profession/position
Which school do/did you go to and from which state (for competitors only)?
Ex: UMD CP, MD or Al Huda School, MD
Is this your first time attending MY-Hack or Shark Tank type competition?*
Do you have a team (For competitors only)?
Provide team members names below, if known
Are you a local DMV area or out of state participant?
NOTE: In-person for DMV and virtual ( a possibility) for non-DMV participants

Team Information

This is a team event. Form a team in advance or we'll assign teammates at the event. Enter your teammates' names and emails below, if available. Each member must register separately.
Teammate 1: First Name Last Name Email
Teammate 2: First Name Last Name Email
Teammate 3: First Name Last Name Email
Teammate 4: First Name Last Name Email
Teammate 5: First Name Last Name Email
MY Hack Mentor/Judge Availability

Please let us know your availability to mentor and/or judge teams competing in this year's Hackathon at the Islamic Center of Maryland (ICM), Gaithersburg, MD.
July 12 Mentoring - Morning shift (10 am to 5 pm)July 12 Mentoring - Evening shift (6 pm to 12 pm)July 13 Mentoring - Morning shift (8 am to 12 noon)July 13 Judging (12 noon am to 5 pm)
YMP-IT Specific

Please response to the 2 questions below if it is concerning YMP-IT.
What is your major (YMP-IT Only)?
Select that matters you the most
When did you receive your BS degree (YMP-IT Only)?
Select that works for you!
REGISTRATION FEE

MY-HACK - $50 per person (Lunch, Dinner, Breakfast provided)

YMP-IT - $100 per person
Paid by paypal at: https://www.paypal.com/donate/?hosted_button_id=GRNUZJV7R88JW - Mention MY Hack 2025)Need Financial assistance (Please write a letter stating your need to MY-Hack@Mafiq.org, if you are requesting financial assistance)Will pay by the registration deadline (July 20 for MY-Hack)Ignore it (for Mentor/Judges/Sponsor etc.)
I accept
Suggested Form and Format for YMP-Hack
- Could be like the form and format of professional Hackathon/Shark tank widely practiced for idea generation.
- Team pitch their idea on the day of the event (Aug 3 at the ICM Banquet Hall, Gaitherburg, MD in shaa Allah) to the whole community of professionals and thought leaders. See schedule below.
- The top vote-getters and up to 3 “wildcards” are funded for transition and maturation.
- Our goal is to support innovative ideas and concepts leading to promising products and process and have the potential for significant social impact.
Tentative Dates for Workshop (only available for the registered participants):
===================================
Last week of June and 1st week of July 2025
Please verify that you are human*
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MY Hack/YMP-IT DUAL PURPOSE SIGN-UP FORM FOR ALL!

Team Information

MY Hack Mentor/Judge Availability

YMP-IT Specific