Share your story with Coursera

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Where are you located? (state/province and country)

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* 5. What courses have you completed?

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* 6. How has learning on Coursera impacted your life?

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* 7. What is your current job title?

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* 8. Do you have advice for other learners?

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* 9. What's a fun fact about you? What hobbies or activities do you enjoy?

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* 10. Do you have an Instagram account? If you'd like to us to tag you, please include your handle. (ex: Our handle is @Coursera)

Please sign this online waiver which gives Coursera permission to share your story: https://waiver.fr/p-QjZSC

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* 11. Did you sign the waiver above?

I signed the waiver.

I do not want Coursera to share my story.

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Headshot examples

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* 12. Please upload a few photos and headshots of yourself to accompany your story. We are looking for high-resolution photos with a clear view of your face and good lighting.

Please see above for examples of what we're looking for.

PNG, JPG, JPEG file types only.

Choose File

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* 13. Photo 2 - Upload a Certificate Selfie (optional)

PNG, JPG, JPEG file types only.

Choose File

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* 14. Photo 3 (optional)

PNG, JPG, JPEG file types only.

Choose File

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* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Where are you located? (state/province and country)

Question Title

* 5. What courses have you completed?

Question Title

* 6. How has learning on Coursera impacted your life?

Question Title

* 7. What is your current job title?

Question Title

* 8. Do you have advice for other learners?

Question Title

* 9. What's a fun fact about you? What hobbies or activities do you enjoy?

Question Title

* 10. Do you have an Instagram account? If you'd like to us to tag you, please include your handle. (ex: Our handle is @Coursera)

Question Title

* 11. Did you sign the waiver above?

Question Title

Headshot examples

Question Title

* 12. Please upload a few photos and headshots of yourself to accompany your story. We are looking for high-resolution photos with a clear view of your face and good lighting. Please see above for examples of what we're looking for.

Question Title

* 13. Photo 2 - Upload a Certificate Selfie (optional)

Question Title

* 14. Photo 3 (optional)

* 12. Please upload a few photos and headshots of yourself to accompany your story. We are looking for high-resolution photos with a clear view of your face and good lighting.

Please see above for examples of what we're looking for.