Build-A-Thon Form
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First Name
*
Last Name
*
Age
*
Gender
*
Male
Female
Contact Information
Email
*
Phone Number
*
Do you live in Maiduguri, Owerri or Abeokuta?
*
Yes
No
Home Address
*
Education
Are you a graduate or under graduate?
*
Graduate
Under Graduate
Name of Institution
*
STEM Programme of Study
*
Upload institution ID card (for Undergrads)
Click or drag a file to this area to upload.
2MB Max
Upload CV (for Graduates)
Click or drag a file to this area to upload.
2MB Max
Technical Information/Knowledge
Have you built a hardware product before?
*
Yes
No
Describe your product in less than 100 words
Share a photo of the product
Click or drag a file to this area to upload.
2MB Max
Which hardware was used to create the product?
Are you familiar with Raspberry Pi?
*
Yes
No
Expertise
Have you worked with teenagers in any capacity (church/school/project etc)?
*
Yes
No
Will you be available 22nd -25th of January 2024?
*
Yes
No
Security Check
Do you have a criminal record?
*
Yes
No
Acceptance
*
I understand that the information I have provided will be used to determine my eligibility for the programme without prejudice. I hereby confirm that the information provided herein is accurate, correct and complete, and that documents submitted to support my candidature are genuine.
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