#HackMediaBlend

1

Are you part of a team?* This field is required.Please note that at least two of the team members have to be from different countries and it is preferable that at least two of the team members have to represent different companies.

Yes

No

2

Please, introduce yourself* This field is required.

Name

Surname

3

What is your e-mail address?* This field is required.

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

4

Tell us about your job* This field is required.

Company

Title

5

How can we find you on Linkedin?* This field is required.Please insert a link. If you don't have one, please let us know your profile on other social media

6

Where are you from?* This field is required.

7

Who is filling out this form?* This field is required.

Your name

Role in the team

8

What is your e-mail address?* This field is required.

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

9

What would you like to name your team?* This field is required.

10

Number of team members* This field is required.

11

Please provide details about all team members (incl. you)

Name

Team role

E-mail

Country

Company name

Job Title

Participant #1

Participant #2

Participant #3

Participant #4

Participant #5 (reserve)

Participant #6 (reserve)

Other

Participant #1

Participant #2

Participant #3

Participant #4

Participant #5 (reserve)

Participant #6 (reserve)

Other

Name

Team role

E-mail

Country

Company name

Job Title

Name

Team role

E-mail

Country

Company name

Job Title

Name

Team role

E-mail

Country

Company name

Job Title

Name

Team role

E-mail

Country

Company name

Job Title

Name

Team role

E-mail

Country

Company name

Job Title

Name

Team role

E-mail

Country

Company name

Job Title

Name

Team role

E-mail

Country

Company name

Job Title

12

Will everyone be able to attend the event in person in Vienna?* This field is required.

Yes!

Other

13

As you know, some participants can apply individually. Would you be interested to have someone else joining your team ?* This field is required.We recommend you to agree in order to increase the diversity of competences in your team.

Sure!

Maybe, why not?

Not really.

14

Tell us more about your organization(s) * This field is required.Who do you work with and what do you aim to achieve?

15

What is your project idea?* This field is required.The best way to describe it is in the form of an elevator pitch: keep your words easily digestible and avoid getting too deep into specifics (you will get a chance for it later in this application)

16

What challenge/problem does it address OR what opportunities does it create?* This field is required.In 2-4 sentences, describe what exactly your project idea affects and why it matters

0/250

17

Elaborate the capacity you/your team have for project implementation?* This field is required.For example, we have institutional funding that covers innovation for the team / we have enough support & funds / staff etc.

18

Why do you believe you're qulified enough for the implementation of your idea?* This field is required.In 2-4 sentences tell us about your experience and knowledge. For example, we have an IT-developer in our team and specialsts needed who worked on this kind of project before, namely...

19

Now let's move on to the details: please submit a draft version of your action plan and a rough timeline* This field is required.Please outline the stages of the project implementation process and the sequence of your actions. For example, stage 1: development of idea; stage 2: assigning team roles; stage 3: developing a prototype; stage 4: budgeting; stage 5: fundraising etc.

20

Why do you want to take part in the hackathon?* This field is required.1-2 sentences about your motivation and expectations

0/250

21

Have you participated in a hackathon before ?* This field is required.

Yes.

No.

22

Do you need a visa to come to Vienna in May?* This field is required.

Yes

No

Other

23

And finally, do you want to participate in an ideation session currated by media and tech experts to help you refine your project idea?* This field is required.Although participation in the ideation sessions is not mandatory – it will give ideation sessions participants an upper hand in the selection process

YESNO

24

Is there anything else you would like to share with us?

25

I hereby consent to the processing of the personal data that I have provided and declare my agreement with the data protection regulations* This field is required.

Yes