MadHacks Heartbleed 2017 Application
The event will take place at the UW-Madison Educational Sciences Building (1025 W. Johnson St) on Saturday, October 7th and Sunday, October 8th.

Check-in will be on Saturday from 9 to 11 am.
The event closes on Sunday at 5 pm.

Personal Info

First Name *

Last Name *

Gender *


There are roles for non-programmers, too!
Year in School *

T-Shirt Size *

School Info

School City *


Do you require travel assistance to attend MadHacks? *

Do you have PayPal or Venmo to accept travel reimbursement? *

Dietary Restrictions

Do you have any dietary restrictions? *

Please include any allergens in the "Other" option.

Are you interested in doing a hardware hack? *

Is this your first hackathon? *


Are you looking for a team? *

How many other team members would you need? *

Please enter a number from 1 to 3.
If you know your team members already, what are their emails?

Please separate emails with commas. If you are a solo hacker, leave this question blank.
What do you want to create? What technologies will you be working with?

This hackathon's theme is "Information Security and Health," but you are welcome to make whatever you want!
We will have mentors, sponsors, and tech talks to assist all interested participants in building something awesome!

Where can we find you?
GitHub Username

LinkedIn URL

Twitter Handle

Personal Website URL

What interests you most about MadHacks?


Do you require any of the following?

Feel free to explain in further detail if you wish

Please upload your resume. *

WARNING: After you submit, you will not be able to come back and submit an updated resume.  If you modify your resume in any way, please email your modified resume to
I agree to the terms of both the MLH Contest Terms and Conditions and the MLH Privacy Policy. *

Please note that you may receive pre and post-event informational e-mails and occasional messages about hackathons from MLH as per the MLH Privacy Policy.
The you for registering for MadHacks Heartbleed 2017!
For any additional questions, please email

Join the MadHacks Heartbleed 2017 Slack page:

We'll see you from 9 to 11 for check-in!
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