2020 LearnServe Virtual Hackathon: Student Facilitator Sign-Up!

Thank you for your interest in being a Student Facilitator for the 2020 LearnServe Virtual Hackathon. Please submit the registration form below to participate in the event! It should not take more than 5 minutes to fill-in and all required fields must be completed.

Once you have submitted your registration, the LearnServe team will follow up regarding next steps. Questions? Contact Florence Rivkin at florence@learn-serve.org or visit learn-serve.org/virtual-hackathon/

First Name *

Last Name *

Your Email *

Cell Phone *

Are you currently in high school? (9th - 12th grade?) *

If you are in high school - please answer the following questions:

Please mark which school you currently attend:

If you chose "Other" please write below:

Expected high school graduation year

If you are no longer in high school - please answer the following quesitons:

Which High School did you attend?

If you selected "Other" please write below:

I am currently...

A student in college or university
Working
Other

If you selected "Other" please write below,

Do you currently live in the DMV area? If no, please let us know in which state/country you currently reside:

Demographic Information

Gender *

Ethnicity (please check all that apply) *

African-American
African
Asian
Caucasian
Hispanic
Middle Eastern
Native American
Native American or Alaskan Native
Mixed (two or more)
Other

Which LearnServe Program/Programs have you participated in? Please mark all that apply: *

LearnServe Fellows
LearnServe Incubator
LearnServe Abroad
LearnServe Intern
LearnServe Seeding Social Innovation

Application Questions: Bullet points & short sentences are accepted

How has COVID-19 affected your life? What has been challenging? What has been positive?

Why do you want to participate as a Student Facilitator in the 2020 LearnServe Hackathon? (2-4 sentences will suffice) *

What do you think makes a good leader/facilitator/teacher? (2-4 sentences will suffice)

During the Hackathon you will be placed in a group to solve a COVID-19 specific issue. Please mark your top two choices of topics you want to focus on: *

Virtual Education
Health Care Workers
Physical Health
Mental Health
Homelessness
Arts & Entertainment
Self-Isolation
Unemployment/The Economy
Other

If you marked 'Other', what additional topic would you like to solve?

Additional Questions

Are you available on Thursday, May 14th from 4:30 - 6:30pm *

Are you available for a 1 hour training on Wednesday, May 6th from 5:00 - 6:00pm *

On the day of the Hackathon, will you have access to: (please mark all that apply)

Internet
A Phone or Computer with a Camera to Video Chat

Have you used Google Docs before?

Have you used Zoom before to video call?

How did you find out about the 2020 LearnServe Hackathon? *

Please fill out the captcha on the right.