Consent Form

Please enable JavaScript in your browser to complete this form.

Name – (As you would like to be updated in University records) *

Reconfirm email address for all correspondence *

Current city and country of residence *

Highest Level of Education *

I hereby give XED the consent to communicate and share my email address, in writing and in conversation with my fellow participants of Cornell Chief AI Officer Program. By providing this consent, I understand that my fellow participants from the program will be able to communicate with me via email. *

• Yes
• No

I give XED permission to use my Linkedin profile, to tag me on relevant program-related content that is suitable and appropriate. *

• Yes
• No

I agree and acknowledge that any communication with my fellow participants is outside the purview of XED and that XED does not have any control and/or influence on the content sent or received by me to/from fellow participants of Cornell Chief AI Officer Program. I confirm that any communication/content sent by me to fellow participants of the program will be in compliance with applicable law and policies of XED. I further confirm that any communication/content sent by me to fellow participants will not breach any intellectual property rights of any person. I hereby agree to indemnify and hold harmless XED and its directors and employees from any loss, damage, and/or claim pursuant to any breach by me of this paragraph. *

• Yes
• No

Submit

FREQUENTLY ASKED QUESTIONS

Q1) Why do we have to share our email id?
There are post-session activities that require collaboration among your fellow participants and it would be easier to connect via emails.

Q2) What data will be shared with my fellow participants?
Only your email id and name will be shared with fellow participants to accomplish the collaborative assignment as part of your learning journey.

Q3) Is this necessary?
While giving your consent is not necessary, we, however, encourage you to do so. This allows you to seamlessly connect with your fellow peers for any post-session collaborations.

Q4) I do not wish to give my consent to share my email id, what should I do?
The usual channels of communication through our Program LMS application will continue to be accessible. You will still be able to connect and collaborate over this application.

Q5) Why do I have to give consent?
Consent is required from each and every participant before sharing any personal information. We respect your data and follow best practices to protect your data privacy.