Exit this survey Facebook Midwest Regionals You're invited to our first annual Midwest Regional Hackathon! Please complete the following survey to register for our event and guarantee yourself a spot. Question Title * 1. Basic Contact Information First and Last Name Email Address Question Title * 2. Gender Male Female Question Title * 3. Expected Graduation Month January February March April May June July August September October November December Question Title * 4. Expected Graduation Year 2012 2013 2014 2015 2016 Question Title * 5. University Purdue University of Illinois at Urbana-Champaign IIT University of Illinois at Chicago Northwestern University of Chicago Other (please specify) Question Title * 6. T-shirt size X-Small Small Medium Large X- Large XX-Large Question Title * 7. Transportation- How will you be getting to the event? I will be driving myself I will take public transportation (subway, bus, etc) I will need travel assistance to & from my University Other, please specify Question Title * 8. Are you interested in being contacted by a member of the Facebook team for possible internship or full-time opportunities? Yes No Submit
