What is your full name? *

What is your phone number? *

What is your Linkedin Profile URL?

Please skip if you don't have a Linkedin profile.
What is your company website URL (if you have one):

Are you applying to the two-day microhack workshop as an individual or a team? *

Individuals or teams are welcome to apply to the workshops. Please let us know if you'd like to attend as an individual or as a team.

If applying as a team, please tell us the names, phone numbers, and email addresses of your co-applicants:

If applying as an individual please proceed directly to question 8.
Please describe the problem you want to focus on at the workshop. Why is the problem worth solving? What is your proposed solution? *

Note: at the conclusion of the workshop you may have the opportunity to further develop your idea through the Fish-X Accelerator Program with X-Lab and the FRDC.
Which workshop can you attend? *

*Travel and accommodation scholarships can be supplied by FRDC.

What are your strongest skills to bring your idea to life. *

Choose as many as you like.

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