Pandemic Challenge Signup

Name*

Prefix First Last Suffix

Zip Code*

ZIP / Postal Code

Company or Organization

Email*

Phone

How Would You Like to be Involved in the Pandemic Challenge?

Problem Solver
Problem Owner
Mentor
Co-sponsor
Other

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Additional Questions for Problem Solvers

Are you a minor or an adult?*

Minor
Adult

What is the name of the Parent or Guardian who is giving permission for you to participate?*

Prefix First Last Suffix

What is the email address or phone number of the Parent or Guardian who is giving you permission to participate?*

Are you already a part of a group of Problem Solvers who want to work on this as a team?*

Yes
No

What is the name or description of your team?*

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Additional Questions for Problem Owners

Please provide a brief description of the problem that you need help solving.*

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Additional Questions for Mentors

What types of mentoring/areas of expertise can you help with?*

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Additional Questions for Co-sponsors

What kind of assistance (free goods and services, financial help, etc.) can you provide to participants in the Pandemic Challenge?*

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Additional Questions for Other Participants

In what other way would you like to be involved in the Pandemic Challenge?*

Any additional information that you would like to provide?

Consent*

I agree to the privacy policy.

I understand that IEEE will use my information to administer the Pandemic Challenge. We will not sell your information. If your locality has special privacy regulations, you agree to contact us at richmond_covid@ieee.org before signing up for this Pandemic Challenge. If you are a minor, your parent or legal guardian must agree to this privacy policy.

IEEE Richmond Section

Advancing Technology for Humanity

Additional Questions for Problem Solvers

Additional Questions for Problem Owners

Additional Questions for Mentors

Additional Questions for Co-sponsors

Additional Questions for Other Participants