Women's Rights Hackathon Mentor Application

1
What's your name?* This field is required.
First Name
Last Name
2
What are your pronouns?* This field is required.
She/Her
She/They
They/Them
3
What's the best email address to reach you?* This field is required.Personal email recommended!
example@example.com
Confirm Email
4
What's the best phone number to reach you?* This field is required.
Please enter a valid phone number.
5
How many years of professional experience do you have in technology?* This field is required.
0 - 2 years
3 - 5 years
6+ years
6
What's your job title?* This field is required.This information will help us get a better idea of the range of expertise that will be present at the hackathon, and help us tailor the event to your needs.
7
What's your current Company?* This field is required.This information will help us get a better idea of the range of expertise that will be present at the hackathon, and help us tailor the event to your needs.
8
Where are you located?* This field is required.
North America (United States)
North America (Canada)
South America
Europe
Africa
Asia
9
What City and State are you located in?* This field is required.Example: (Miami, Florida)
10
What's your timezone?* This field is required.
11
Have you ever mentored a hackathon before?* This field is required.
YESNO
12
Will you be able to participate in this virtual hackathon from Monday, June 26th - Sunday, July 2nd 2023?* This field is required.
YESNO
13
Let us know the days and times you're available to mentor in Eastern Time.* This field is required.Example: Monday from 9AM - 11AM
Huge
Large
Normal
Small
Ok
Ok
14
What technology track(s) are you interested in mentoring?* This field is required.
5G Technology
Artificial Intelligence
Blockchain Technology
15
What's your LinkedIn URL?* This field is required.We'd love to connect with you and learn more about your professional background!
16
May we use your LinkedIn Headshot on our website?* This field is required.
YESNO
17
Please upload your preferred headshot/avatar here. * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Please submit a 2-3 sentence bio that explains your expertise, relevant experience and what makes you a great mentor for the Women's Rights Hackathon. We will share this with our participants and on our website.* This field is required.If your LinkedIn Profile suffices, you can just place your profile here!
Huge
Large
Normal
Small
Ok
Ok
19
What's your ETH Wallet Address?
20
How did you hear about this hackathon?* This field is required.
Instagram
Twitter
LinkedIn
Discord
Community Partner
21
Which Community Partner?* This field is required.
Please Select
Please Select
BluDAO
Should be Empty: