{"xsrfToken":"1121bbced5113d8d893398271ec6591dbf543c24_lout","branding":{"id":"1","key":"ch23","name":"Island Health Code Hack Registration","portalBaseUrl":"/servicedesk/customer/portal/1"},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/6532cd3e-f73e-4ff4-a7ad-c8a7dc03360a/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2OWQ5M2QyMi1hNjUyLTRhNjMtODdiMi1lMGJkOTM1YjY4YjgiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjY1MzJjZDNlLWY3M2UtNGZmNC1hN2FkLWM4YTdkYzAzMzYwYSI6WyJyZWFkIl19LCJleHAiOjE3MTE2NDcxMjIsIm5iZiI6MTcxMTY0NjUyMn0.dOo15NRQlzISWMsMKio57ROH8HMRr7xNf-Co6lnGpIk&client=69d93d22-a652-4a63-87b2-e0bd935b68b8&mode=fit","logoId":"6532cd3e-f73e-4ff4-a7ad-c8a7dc03360a","isLogoAvailable":true,"helpCenterTitle":"Welcome to Island Health Code Hack Registration","sharedPortalName":"Island Health Code Hack","userInitialAnnouncementHeader":"","userInitialAnnouncementMessageWiki":"","translations":{"en-US":{"helpCenterTitle":"Welcome to Island Health Code Hack Registration","sharedPortalName":"Island Health Code Hack","localeDisplayName":"English (United States)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-US","userLanguageTag":"en-US","portalThemeColor":"#2c75d9","helpCenterTitleColor":"#ffffff","bannerMediaApiUrl":"https://api.media.atlassian.com/file/1ef67e5a-fbd5-4096-9710-4428facbe5b9/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2OWQ5M2QyMi1hNjUyLTRhNjMtODdiMi1lMGJkOTM1YjY4YjgiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjFlZjY3ZTVhLWZiZDUtNDA5Ni05NzEwLTQ0MjhmYWNiZTViOSI6WyJyZWFkIl19LCJleHAiOjE3MTE2NDcxMjIsIm5iZiI6MTcxMTY0NjUyMn0.Bv4l9qeTI_emhME7MVWwrhohYek8M930Qv8ZimByyC4&client=69d93d22-a652-4a63-87b2-e0bd935b68b8&height=300&mode=fit","bannerMediaApiFileId":"1ef67e5a-fbd5-4096-9710-4428facbe5b9","useDefaultBanner":false,"isBannerAvailable":true},"portal":{"id":"1","key":"ch23","projectId":10000,"serviceDeskId":1,"name":"Island Health Code Hack Registration","description":"","portalBaseUrl":"/servicedesk/customer/portal/1","onlyPortal":true,"reqTypes":[{"id":"9","name":"Participant Registration","descriptionHtml":"<p>Volunteering? Please be sure to use the <a href=\"https://islandhealth.ca/codehack-support\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">support role registration form</a>.</p>","callToAction":"Participant Registration","introHtml":"","icon":10498,"iconUrl":"https://codehack.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10498","groups":[1],"key":""},{"id":"10","name":"Support Role Registration","descriptionHtml":"","callToAction":"Support Role Registration","introHtml":"","icon":10499,"iconUrl":"https://codehack.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10499","groups":[1],"key":""},{"id":"5","name":"Emailed request","descriptionHtml":"","callToAction":"Emailed request","introHtml":"<p>Request received from your email support channel.</p>","icon":10527,"iconUrl":"https://codehack.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10527","groups":[],"key":""}],"reqGroups":[{"id":1,"name":"General"}],"orderMapping":{"1":[9,10]},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"createPermission":true,"portalAnnouncement":{"portalId":1,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"CODEHACK","userLanguageHeader":"Thank you!","userLanguageMessageWiki":"<p>Thank you for your interest in Code Hack 2024. The application period for participants and volunteers is now closed. Follow along with this year's event #IslandHealthCodeHack</p>","defaultLanguageHeader":"Thank you!","defaultLanguageMessage":"Thank you for your interest in Code Hack 2024. The application period for participants and volunteers is now closed. Follow along with this year's event #IslandHealthCodeHack","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2OWQ5M2QyMi1hNjUyLTRhNjMtODdiMi1lMGJkOTM1YjY4YjgiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMDAwMCI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3MTE2NDc3MjIsIm5iZiI6MTcxMTY0NjUyMn0.T3eU7OeIuGw4xN9IJiR8BgoW5Tp-IXaJtzerUB7EtB8","targetCollection":"upload-project-10000","endpointUrl":"https://api.media.atlassian.com","clientId":"69d93d22-a652-4a63-87b2-e0bd935b68b8","tokenDurationInMins":20}},"reqCreate":{"id":9,"projectId":10000,"form":{"name":"Participant Registration","descriptionHtml":"<p>Volunteering? Please be sure to use the <a href=\"https://islandhealth.ca/codehack-support\" class=\"external-link\" rel=\"nofollow noreferrer\">support role registration form</a>.</p>","callToAction":"Participant Registration","intro":"","instructions":"<p>Volunteering? Please be sure to use the <a href=\"https://islandhealth.ca/codehack-support\" class=\"external-link\" rel=\"nofollow noreferrer\">support role registration form</a>.</p>","icon":10498,"iconUrl":"https://codehack.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10498","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","fieldId":"summary","fieldConfigId":"","label":"Summary","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["Participant Application"]}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/1/create/9","requestValidateBaseUrl":"/servicedesk/customer/portal/1/validate/9","calendarParams":{"firstDay":0,"date":"2024-03-28T10:22:02-0700","useISO8601WeekNumbers":false,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":false,"showRecaptcha":true,"siteKey":"6LePXLkdAAAAAF4gCNalrL1IvZcqbNbZf_Zakudd","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2OWQ5M2QyMi1hNjUyLTRhNjMtODdiMi1lMGJkOTM1YjY4YjgiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMDAwMCI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3MTE2NDc3MjIsIm5iZiI6MTcxMTY0NjUyMn0.T3eU7OeIuGw4xN9IJiR8BgoW5Tp-IXaJtzerUB7EtB8","targetCollection":"upload-project-10000","endpointUrl":"https://api.media.atlassian.com","clientId":"69d93d22-a652-4a63-87b2-e0bd935b68b8","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":1,"updated":"2024-02-13T22:12:27.080971Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[9],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":1,"name":"Participant Registration","submit":{"lock":true,"pdf":false},"templateFormUuid":"ee51d69f-907e-43dd-a57b-0b7b3d99cab4"},"layout":[{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"Application to Attend","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Island Health's annual Hackathon is a fun, intense weekend event where staff, patients, physicians, industry experts, developers, designers, and students compete against the clock and each other to solve our most challenging health problems. Guided by the principles of courageous innovation, strong partnerships, excellence, and the belief that we are better together, Island Health provides teams with space, guidance, and tools to pitch their wicked health care problems and prototype solutions. Winners will receive prizes and opportunities to further develop their solution concepts."}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"CODE HACK SCHEDULE","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Code Hack runs March 8 - 10, 2024 at the Royal Jubilee Hospital campus in Victoria, BC."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Friday, March 8"}]},{"type":"paragraph","content":[{"type":"text","text":"Join us in the evening for the official launch of Code Hack. You can also register, pick up your official hacker package, and get an exclusive hospital tour."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Saturday, March 9"}]},{"type":"paragraph","content":[{"type":"text","text":"Problem pitching starts bright and early, followed by team formation. Then Code Hack really begins! You'll spend 24 hours sprinting toward a solution as part of a multi-disciplinary hacker team."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Sunday, March 10"}]},{"type":"paragraph","content":[{"type":"text","text":"Showcase your team’s innovative solution to our judge panel for the chance to win cash prizes and ongoing support. Winners will be announced at the award ceremony following judges' deliberation."}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"HOW THIS WORKS","marks":[{"type":"strong"}]}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 1: Apply"}]},{"type":"paragraph","content":[{"type":"text","text":"Complete the form below to submit your application to become a Code Hack participant. Space is limited to 100 people so get your application in!"}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 2: Receive your acceptance"}]},{"type":"paragraph","content":[{"type":"text","text":"You'll receive an e-mail letting you know that you've been accepted."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 3: Accept your spot"}]},{"type":"paragraph","content":[{"type":"text","text":"We'll provide you with a link to our online platform where you can confirm your registration, make a profile, meet the other hackers, and share the problem you're pitching."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 4: Vote"}]},{"type":"paragraph","content":[{"type":"text","text":"You'll have three votes that you can use to up-vote problems. The top up-voted problems will be guaranteed a spot in the opening pitch session on March 8. The additional problems will be drawn wild-card style at Code Hack so be ready to pitch on the fly!"}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 5: Attend Code Hack"}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"THIS IS INNOVATION","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Never been to a hackathon before? Don't worry! Many people are new to this experience. You don't need to be a seasoned hackathon pro. All you need is you, your enthusiasm, and a desire to take action on some of our most challenging health care problems."},{"type":"hardBreak"},{"type":"hardBreak"},{"type":"text","text":"Or maybe you're not sure how you'll manage to attend. We recognize that not everyone in health care has a flexible schedule or weekends off. We encourage you to apply regardless of your work schedule or situation. If you're accepted, we'll work with you to help you get the support you need to attend."}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"SO LET'S GET STARTED","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Complete the application form below. We can't wait to receive your application!"}]},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":1},"localId":"9842b5a1-4d2b-4d73-9697-c6be3bdf32ef"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":2},"localId":"96443dce-7cba-4961-8a3b-151993a1b74f"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":16},"localId":"9e285968-2a14-46fb-8ecb-4768a1612c18"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":4},"localId":"259984bd-69f9-4461-bbc3-068b99a645b5"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":5},"localId":"83bf014a-36b2-44e6-9100-769eedf1b085"}},{"type":"heading","attrs":{"level":5},"content":[{"type":"text","text":"Volunteering? Please be sure to use the "},{"type":"text","text":"support role registration form","marks":[{"type":"link","attrs":{"href":"https://islandhealth.ca/codehack-support"}}]},{"type":"text","text":" instead"},{"type":"text","text":".","marks":[{"type":"link","attrs":{"href":"https://islandhealth.ca/codehack-support%5D."}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":6},"localId":"eb76ee9e-38bc-4839-85a7-77ae363774ab"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":7},"localId":"141cb0a8-a298-4730-88ee-be4db990741e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":8},"localId":"aa1c035f-625a-48b7-9c33-25fbbaf1f0aa"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":10},"localId":"f1b348dd-cdc3-43ae-a79f-478d373a20b3"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":12},"localId":"15eef8c4-814f-4043-adb1-1d9a58e9d849"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":13},"localId":"c7264104-1566-4541-8b51-0aa2e50a4a9d"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":14},"localId":"7ac897e6-f3f1-4147-acbe-4b0747be3d56"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":17},"localId":"9105c979-4fa6-41bb-976f-bd8d74cb8f68"}},{"type":"table","attrs":{"isNumberColumnEnabled":false,"layout":"default","localId":"28ccfe64-a748-4255-b61b-0045ba7877e8"},"content":[{"type":"tableRow","content":[{"type":"tableHeader","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"UNISEX","marks":[{"type":"strong"}]}]}]},{"type":"tableHeader","attrs":{"colspan":2},"content":[{"type":"paragraph","content":[{"type":"text","text":"CHEST TO FIT ","marks":[{"type":"strong"}]}],"marks":[{"type":"alignment","attrs":{"align":"end"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"XS","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Extra Small"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"31”-34”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"S","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Small"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"34”-37”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"M","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Medium"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"38”-41”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"L","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"42”-45”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"46”-49”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"2XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Double Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"50”-53”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"3XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Triple Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"54”-57”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"4XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Quadruple Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"58”-61”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"5XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Quintuple Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"62”-65”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":18},"localId":"4028f2e0-f76a-4c4f-a876-f365d03769fb"}},{"type":"heading","attrs":{"level":4},"content":[{"type":"text","text":"If my application is successful, I confirm that: "}]},{"type":"orderedList","attrs":{"order":1},"content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"I am able to attend in person, all three days of the Code Hack event, commencing the evening of Friday March 8, and concluding in the afternoon of Sunday March 10 (overnight attendance optional); "}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"I agree to the following terms which will be included in a Participation Agreement to be signed on arrival at the event:"}]}]}]},{"type":"paragraph","content":[{"type":"text","text":"a) Intellectual property rights in each entry will remain the property of the Participant(s) who create it, but Participants will enter into a license agreement with Island Health;"}],"marks":[{"type":"indentation","attrs":{"level":1}}]},{"type":"paragraph","content":[{"type":"text","text":"b) to indemnify Island Health against all actual or alleged claims, liabilities, costs and damages as laid out in the Participation agreement;"}],"marks":[{"type":"indentation","attrs":{"level":1}}]},{"type":"paragraph","content":[{"type":"text","text":"c) In no event will Island Health be liable to you for any direct, indirect, special, incidental, punitive or consequential damages relating to your participation in the Code Hack event."}],"marks":[{"type":"indentation","attrs":{"level":1}}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":15},"localId":"be113d53-f224-4086-b676-61bcb6e82ece"}},{"type":"paragraph","content":[{"type":"text","text":"Island Health Privacy","marks":[{"type":"link","attrs":{"href":"https://www.islandhealth.ca/about-us/accountability/information-stewardship-access-privacy/privacy-islandhealthca"}}]}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}],"conditions":{},"sections":{},"questions":{"12":{"type":"cs","label":"Are you an Island Health employee?","description":"","validation":{"rq":true},"jiraField":"customfield_10055","questionKey":""},"8":{"type":"pg","label":"What is your experience with our healthcare system, either directly or indirectly (through a friend or relative)?","description":"","validation":{"rq":true},"jiraField":"customfield_10053","questionKey":""},"4":{"type":"tl","label":"Phone Number","description":"","validation":{"rq":false},"jiraField":"customfield_10049","questionKey":""},"15":{"type":"cm","label":"Please confirm your agreement:","description":"","validation":{"rq":true},"jiraField":"customfield_10058","questionKey":""},"13":{"type":"cs","label":"Have you participated in other hackathon events?","description":"","validation":{"rq":false},"jiraField":"customfield_10056","questionKey":""},"16":{"type":"te","label":"Email Address","description":"","validation":{"rq":true},"jiraField":"customfield_10048","questionKey":""},"5":{"type":"cm","label":"How did you hear about this event?","description":"","validation":{"rq":false},"jiraField":"customfield_10050","questionKey":""},"10":{"type":"tu","label":"Linked In and/or other social media profile (provide URL)","description":"","validation":{"rq":false},"jiraField":"customfield_10054","questionKey":""},"2":{"type":"tl","label":"Last Name","description":"","validation":{"rq":true},"jiraField":"customfield_10047","questionKey":""},"18":{"type":"pg","label":"Any special requirements?","description":"(e.g. food restrictions, accessilibity, etc.)","validation":{"rq":false},"jiraField":"customfield_10061","questionKey":""},"7":{"type":"pg","label":"Please tell us a little about the strengths you bring to a Code Hack team","description":"","validation":{"rq":false},"jiraField":"customfield_10052","questionKey":""},"6":{"type":"cs","label":"What type of hacker do you identify as?","description":"","validation":{"rq":true},"jiraField":"customfield_10051","questionKey":""},"1":{"type":"tl","label":"First Name","description":"","validation":{"rq":true},"jiraField":"customfield_10046","questionKey":""},"17":{"type":"cd","label":"Registration for successful applicants includes an Island Health Code Hack T-shirt","description":"Please select your preferred size of shirt using the guide below","validation":{"rq":true},"jiraField":"customfield_10059","defaultAnswer":{"choices":["10038"]},"questionKey":""},"14":{"type":"cs","label":"Would you like to be added to the Code Hack mailing list?","description":"","validation":{"rq":false},"jiraField":"customfield_10057","questionKey":""}}},"uuid":"ee51d69f-907e-43dd-a57b-0b7b3d99cab4"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":1,"updated":"2024-02-13T22:12:27.080971Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[9],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":1,"name":"Participant Registration","submit":{"lock":true,"pdf":false},"templateFormUuid":"ee51d69f-907e-43dd-a57b-0b7b3d99cab4"},"layout":[{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"Application to Attend","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Island Health's annual Hackathon is a fun, intense weekend event where staff, patients, physicians, industry experts, developers, designers, and students compete against the clock and each other to solve our most challenging health problems. Guided by the principles of courageous innovation, strong partnerships, excellence, and the belief that we are better together, Island Health provides teams with space, guidance, and tools to pitch their wicked health care problems and prototype solutions. Winners will receive prizes and opportunities to further develop their solution concepts."}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"CODE HACK SCHEDULE","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Code Hack runs March 8 - 10, 2024 at the Royal Jubilee Hospital campus in Victoria, BC."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Friday, March 8"}]},{"type":"paragraph","content":[{"type":"text","text":"Join us in the evening for the official launch of Code Hack. You can also register, pick up your official hacker package, and get an exclusive hospital tour."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Saturday, March 9"}]},{"type":"paragraph","content":[{"type":"text","text":"Problem pitching starts bright and early, followed by team formation. Then Code Hack really begins! You'll spend 24 hours sprinting toward a solution as part of a multi-disciplinary hacker team."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Sunday, March 10"}]},{"type":"paragraph","content":[{"type":"text","text":"Showcase your team’s innovative solution to our judge panel for the chance to win cash prizes and ongoing support. Winners will be announced at the award ceremony following judges' deliberation."}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"HOW THIS WORKS","marks":[{"type":"strong"}]}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 1: Apply"}]},{"type":"paragraph","content":[{"type":"text","text":"Complete the form below to submit your application to become a Code Hack participant. Space is limited to 100 people so get your application in!"}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 2: Receive your acceptance"}]},{"type":"paragraph","content":[{"type":"text","text":"You'll receive an e-mail letting you know that you've been accepted."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 3: Accept your spot"}]},{"type":"paragraph","content":[{"type":"text","text":"We'll provide you with a link to our online platform where you can confirm your registration, make a profile, meet the other hackers, and share the problem you're pitching."}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 4: Vote"}]},{"type":"paragraph","content":[{"type":"text","text":"You'll have three votes that you can use to up-vote problems. The top up-voted problems will be guaranteed a spot in the opening pitch session on March 8. The additional problems will be drawn wild-card style at Code Hack so be ready to pitch on the fly!"}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Step 5: Attend Code Hack"}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"THIS IS INNOVATION","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Never been to a hackathon before? Don't worry! Many people are new to this experience. You don't need to be a seasoned hackathon pro. All you need is you, your enthusiasm, and a desire to take action on some of our most challenging health care problems."},{"type":"hardBreak"},{"type":"hardBreak"},{"type":"text","text":"Or maybe you're not sure how you'll manage to attend. We recognize that not everyone in health care has a flexible schedule or weekends off. We encourage you to apply regardless of your work schedule or situation. If you're accepted, we'll work with you to help you get the support you need to attend."}]},{"type":"heading","attrs":{"level":1},"content":[{"type":"text","text":"SO LET'S GET STARTED","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Complete the application form below. We can't wait to receive your application!"}]},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":1},"localId":"9842b5a1-4d2b-4d73-9697-c6be3bdf32ef"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":2},"localId":"96443dce-7cba-4961-8a3b-151993a1b74f"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":16},"localId":"9e285968-2a14-46fb-8ecb-4768a1612c18"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":4},"localId":"259984bd-69f9-4461-bbc3-068b99a645b5"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":5},"localId":"83bf014a-36b2-44e6-9100-769eedf1b085"}},{"type":"heading","attrs":{"level":5},"content":[{"type":"text","text":"Volunteering? Please be sure to use the "},{"type":"text","text":"support role registration form","marks":[{"type":"link","attrs":{"href":"https://islandhealth.ca/codehack-support"}}]},{"type":"text","text":" instead"},{"type":"text","text":".","marks":[{"type":"link","attrs":{"href":"https://islandhealth.ca/codehack-support%5D."}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":6},"localId":"eb76ee9e-38bc-4839-85a7-77ae363774ab"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":7},"localId":"141cb0a8-a298-4730-88ee-be4db990741e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":8},"localId":"aa1c035f-625a-48b7-9c33-25fbbaf1f0aa"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":10},"localId":"f1b348dd-cdc3-43ae-a79f-478d373a20b3"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":12},"localId":"15eef8c4-814f-4043-adb1-1d9a58e9d849"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":13},"localId":"c7264104-1566-4541-8b51-0aa2e50a4a9d"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":14},"localId":"7ac897e6-f3f1-4147-acbe-4b0747be3d56"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":17},"localId":"9105c979-4fa6-41bb-976f-bd8d74cb8f68"}},{"type":"table","attrs":{"isNumberColumnEnabled":false,"layout":"default","localId":"28ccfe64-a748-4255-b61b-0045ba7877e8"},"content":[{"type":"tableRow","content":[{"type":"tableHeader","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"UNISEX","marks":[{"type":"strong"}]}]}]},{"type":"tableHeader","attrs":{"colspan":2},"content":[{"type":"paragraph","content":[{"type":"text","text":"CHEST TO FIT ","marks":[{"type":"strong"}]}],"marks":[{"type":"alignment","attrs":{"align":"end"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"XS","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Extra Small"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"31”-34”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"S","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Small"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"34”-37”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"M","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Medium"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"38”-41”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"L","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"42”-45”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"46”-49”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"2XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Double Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"50”-53”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"3XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Triple Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"54”-57”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"4XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Quadruple Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"58”-61”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"5XL","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Quintuple Extra Large"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"62”-65”"}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":18},"localId":"4028f2e0-f76a-4c4f-a876-f365d03769fb"}},{"type":"heading","attrs":{"level":4},"content":[{"type":"text","text":"If my application is successful, I confirm that: "}]},{"type":"orderedList","attrs":{"order":1},"content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"I am able to attend in person, all three days of the Code Hack event, commencing the evening of Friday March 8, and concluding in the afternoon of Sunday March 10 (overnight attendance optional); "}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"I agree to the following terms which will be included in a Participation Agreement to be signed on arrival at the event:"}]}]}]},{"type":"paragraph","content":[{"type":"text","text":"a) Intellectual property rights in each entry will remain the property of the Participant(s) who create it, but Participants will enter into a license agreement with Island Health;"}],"marks":[{"type":"indentation","attrs":{"level":1}}]},{"type":"paragraph","content":[{"type":"text","text":"b) to indemnify Island Health against all actual or alleged claims, liabilities, costs and damages as laid out in the Participation agreement;"}],"marks":[{"type":"indentation","attrs":{"level":1}}]},{"type":"paragraph","content":[{"type":"text","text":"c) In no event will Island Health be liable to you for any direct, indirect, special, incidental, punitive or consequential damages relating to your participation in the Code Hack event."}],"marks":[{"type":"indentation","attrs":{"level":1}}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":15},"localId":"be113d53-f224-4086-b676-61bcb6e82ece"}},{"type":"paragraph","content":[{"type":"text","text":"Island Health Privacy","marks":[{"type":"link","attrs":{"href":"https://www.islandhealth.ca/about-us/accountability/information-stewardship-access-privacy/privacy-islandhealthca"}}]}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}],"conditions":{},"sections":{},"questions":{"12":{"type":"cs","label":"Are you an Island Health employee?","description":"","validation":{"rq":true},"jiraField":"customfield_10055","questionKey":""},"8":{"type":"pg","label":"What is your experience with our healthcare system, either directly or indirectly (through a friend or relative)?","description":"","validation":{"rq":true},"jiraField":"customfield_10053","questionKey":""},"4":{"type":"tl","label":"Phone Number","description":"","validation":{"rq":false},"jiraField":"customfield_10049","questionKey":""},"15":{"type":"cm","label":"Please confirm your agreement:","description":"","validation":{"rq":true},"jiraField":"customfield_10058","questionKey":""},"13":{"type":"cs","label":"Have you participated in other hackathon events?","description":"","validation":{"rq":false},"jiraField":"customfield_10056","questionKey":""},"16":{"type":"te","label":"Email Address","description":"","validation":{"rq":true},"jiraField":"customfield_10048","questionKey":""},"5":{"type":"cm","label":"How did you hear about this event?","description":"","validation":{"rq":false},"jiraField":"customfield_10050","questionKey":""},"10":{"type":"tu","label":"Linked In and/or other social media profile (provide URL)","description":"","validation":{"rq":false},"jiraField":"customfield_10054","questionKey":""},"2":{"type":"tl","label":"Last Name","description":"","validation":{"rq":true},"jiraField":"customfield_10047","questionKey":""},"18":{"type":"pg","label":"Any special requirements?","description":"(e.g. food restrictions, accessilibity, etc.)","validation":{"rq":false},"jiraField":"customfield_10061","questionKey":""},"7":{"type":"pg","label":"Please tell us a little about the strengths you bring to a Code Hack team","description":"","validation":{"rq":false},"jiraField":"customfield_10052","questionKey":""},"6":{"type":"cs","label":"What type of hacker do you identify as?","description":"","validation":{"rq":true},"jiraField":"customfield_10051","questionKey":""},"1":{"type":"tl","label":"First Name","description":"","validation":{"rq":true},"jiraField":"customfield_10046","questionKey":""},"17":{"type":"cd","label":"Registration for successful applicants includes an Island Health Code Hack T-shirt","description":"Please select your preferred size of shirt using the guide below","validation":{"rq":true},"jiraField":"customfield_10059","defaultAnswer":{"choices":["10038"]},"questionKey":""},"14":{"type":"cs","label":"Would you like to be added to the Code Hack mailing list?","description":"","validation":{"rq":false},"jiraField":"customfield_10057","questionKey":""}}},"uuid":"ee51d69f-907e-43dd-a57b-0b7b3d99cab4"},"linkedJiraFields":["customfield_10050","customfield_10061","customfield_10051","customfield_10052","customfield_10053","customfield_10054","customfield_10055","customfield_10056","customfield_10057","customfield_10046","customfield_10047","customfield_10058","customfield_10048","customfield_10059","customfield_10049"]},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}