diff --git a/apps/hackathon/src/app/_components/userInformation/ApplicationForm.tsx b/apps/hackathon/src/app/_components/userInformation/ApplicationForm.tsx
new file mode 100644
index 0000000..fc3a366
--- /dev/null
+++ b/apps/hackathon/src/app/_components/userInformation/ApplicationForm.tsx
@@ -0,0 +1,164 @@
+'use client'
+import type { FormEvent } from 'react'
+import React, { useState } from 'react'
+import type { UserInformation } from '@prisma/client'
+import { api } from '~/trpc/react'
+
+interface ApplicationFormProps {
+  session: {
+    user: {
+      id: string
+    }
+  }
+}
+
+export function ApplicationForm(props: ApplicationFormProps) {
+  const [subscribe, setSubscribe] = useState<boolean>(false)
+  const [formData, setFormData] = useState<UserInformation>({
+    id: '1',
+    email: '',
+    first_name: '',
+    last_name: '',
+    levels_of_study: '',
+    major: '',
+    date_of_birth: new Date(0),
+    gender: '',
+    phone_number: '',
+    school: '',
+    userId: props.session?.user.id || '',
+  })
+
+  const submitApplicationForm = api.userInformation.useMutation()
+  const subscribeToNewsletter = api.subscribeToNewsletter.useMutation()
+  const handleSubmit = async (e: FormEvent) => {
+    e.preventDefault()
+    try {
+      if (subscribe && formData.email) {
+        subscribeToNewsletter.mutateAsync({ email: formData.email })
+      }
+      await submitApplicationForm.mutateAsync(formData)
+    }
+    catch (error) {
+      console.error('Error submitting form:', error)
+    }
+  }
+
+  const handleSubscribe = (e: React.ChangeEvent<HTMLInputElement>) => {
+    if (e.target && formData.email) {
+      setSubscribe(!subscribe)
+    }
+    else {
+      e.target.checked = false
+    }
+  }
+
+  const handleOnChange = (e: React.ChangeEvent<HTMLInputElement>) => {
+    if (e.target) {
+      setFormData({
+        ...formData,
+        [e.target.name]: e.target.value,
+      })
+      if (e.target.name === 'email' && subscribe) {
+        handleSubscribe(e)
+      }
+    }
+  }
+
+  return (
+    <form onSubmit={handleSubmit}>
+      <label htmlFor="firstName">First Name</label>
+      <input
+        type="text"
+        id="firstName"
+        name="first_name"
+        value={formData.first_name || ''}
+        onChange={handleOnChange}
+      />
+
+      <label htmlFor="lastName">Last Name</label>
+      <input
+        type="text"
+        id="lastName"
+        name="last_name"
+        value={formData.last_name || ''}
+        onChange={handleOnChange}
+      />
+
+      <label htmlFor="email">Email</label>
+      <input
+        type="email"
+        id="email"
+        name="email"
+        value={formData.email || ''}
+        onChange={handleOnChange}
+      />
+
+      <input
+        type="checkbox"
+        id="subscribe"
+        name="subscribe"
+        value={subscribe ? 'true' : 'false'}
+        checked={subscribe}
+        onChange={handleSubscribe}
+      />
+      subscribe to newsletter with email
+
+      <label htmlFor="school">School</label>
+      <input
+        type="text"
+        id="school"
+        value={formData.school || ''}
+        onChange={handleOnChange}
+      />
+
+      <label htmlFor="major">Major</label>
+      <input
+        type="text"
+        id="major"
+        name="major"
+        value={formData.major || ''}
+        onChange={handleOnChange}
+      />
+
+      <label htmlFor="yearOfStudy">Year of Study</label>
+      <input
+        type="text"
+        id="yearOfStudy"
+        name="levels_of_study"
+        value={formData.levels_of_study || ''}
+        onChange={handleOnChange}
+      />
+
+      <label htmlFor="gender">Gender</label>
+      <input
+        type="text"
+        id="gender"
+        name="gender"
+        value={formData.gender || ''}
+        onChange={handleOnChange}
+      />
+
+      <label htmlFor="dateOfBirth">Date of Birth</label>
+      <input
+        type="date"
+        id="dateOfBirth"
+        name="date_of_birth"
+        value={formData.date_of_birth ? formData.date_of_birth.toISOString().split('T')[0] : ''}
+        onChange={handleOnChange}
+      />
+
+      <label htmlFor="phoneNumber">Phone Number</label>
+      <input
+        type="tel"
+        id="phoneNumber"
+        name="phone_number"
+        value={formData.phone_number || ''}
+        onChange={handleOnChange}
+      />
+
+      <button type="submit">Submit</button>
+    </form>
+  )
+};
+
+export default ApplicationForm
diff --git a/apps/hackathon/src/server/api/routers/applicationForm/procedures/setUserInformation.ts b/apps/hackathon/src/server/api/routers/applicationForm/procedures/setUserInformation.ts
new file mode 100644
index 0000000..b7c340a
--- /dev/null
+++ b/apps/hackathon/src/server/api/routers/applicationForm/procedures/setUserInformation.ts
@@ -0,0 +1,40 @@
+import { z } from 'zod'
+
+import {
+  protectedProcedure,
+} from '~/server/api/trpc'
+
+export const userInformationRouter = protectedProcedure
+  .input(
+    z.object({
+      id: z.string(),
+      email: z.string().email().nullable(),
+      first_name: z.string().nullable(),
+      last_name: z.string().nullable(),
+      levels_of_study: z.string().nullable(),
+      major: z.string().nullable(),
+      date_of_birth: z.date().nullable(),
+      gender: z.string().nullable(),
+      phone_number: z.string().nullable(),
+      school: z.string().nullable(),
+      userId: z.string(),
+    }),
+  )
+  .mutation(async ({ ctx, input }) => {
+    const data = await ctx.db.userInformation.create({
+      data: {
+        id: input.id,
+        email: input.email,
+        first_name: input.first_name,
+        last_name: input.last_name,
+        levels_of_study: input.levels_of_study,
+        major: input.major,
+        date_of_birth: input.date_of_birth,
+        gender: input.gender,
+        phone_number: input.phone_number,
+        school: input.school,
+        userId: input.userId,
+      },
+    })
+    return data
+  })