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First name*

Last name*

Role/title*

Company*

Company email address*

Phone*

Linkedin profile*

Interest in this course: What do you hope to get out of it

If applicable, what AI projects are you working on? describe the initiatives and their objectives and your role in the initiatives

If applicable, what challenges are you faced with in these initiatives?

Describe a future state: If successful, this course will
have helped you to ___________

Anything else you'd like us to know about your work or your interest in this course?

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