Career Hacking with AI Registration Form
Land Your Dream Job in 6 Weeks using AI
Enrollee Information
Name
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Phone Number
Email Address
example@example.com
What is your highest level of education?
High School
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Master and Doctorate
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What are you looking to get out of this program?
Others
How did you learn about this virtual course?
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Online Ads
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I agree to the
terms and conditions
and I also confirm that all information I entered in this form is accurate and true.
Participant Signature
Date Signed
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Month
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Day
Year
Date
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Career Hacking with AI
6-week program with Dr. Qingyang X.
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