Cut, Edit, Create: CapCut for Everyone -- INTEREST INQUIRY
Join Cut, Edit, Create: CapCut for Everyone — a practical, hands-on video editing experience designed to help adults bring their stories to life using just a phone. Through a blend of live virtual instruction, self-paced Coursera learning, and an in-person workshop, you’ll gain real-world skills to create polished videos for work, family, business, and community events. Learn to edit with confidence, add captions and effects, and share videos that make an impact — all with simple, accessible tools.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
PLEASE LET US KNOW ABOUT YOU!
Are you able to attend ALL online and in-person sessions?
*
Yes
No
Are you at least 18 years of age?
*
Yes
No
You you have a laptop or desktop at home?
*
Yes
No
Do you have the internet (including wifi) at home?
*
Yes
No
Are you currently employed?
*
Yes
No
If you are employed, are you working full-time or part-time?
*
Full-time
Part-Time
Does Not Apply
Are you actively seeking employment, career advancement or a promotion?
*
Yes
No
Are you currently in school (high school, college or vocational program)?
*
Yes
No
What is your high level of education completed?
*
Less Than High School Diploma/GED
High School Diploma/GED
Vocational Trade/Community Program
Some College
Associate Degree
Bachelor Degree
Master Degree
Do you have a valid government issued photo ID?
*
Yes
No
What is your primary transportation source for work, school and/or training?
*
Public Transportation (CTA, Pace, etc)
Automobile (Personal)
Automobile (Shared)
Rides From Family/Friends/Others
Ride Share (Uber, Lyft, etc)
Walk And/Or Bike
DEMOGRAPHIC INFORMATION
What is your gender identity?
*
Male
Female
Non-Binary/Non-Conforming
Other
What is your ethnic identity?
*
African American
Latin American
Asian American
Native American
Caucasian
Biracial (More Than One Ethnicity)
Other
Are you a veteran?
*
Yes
No
What is your age group?
*
Over The Age Of 55 (55+)
45 - 54
35 - 44
25 - 34
17 - 24
Under The Age of 17
Do you have a disability?
*
Yes
No
Do you receive any government assistance (such as Unemployment Benefits, Medicaid/Medicare, SNAP/Food Stamps or Section 8/Subsidized Housing)?
*
Yes
No
Have you ever been convicted of a misdemeanor or felony crime as an adult?
*
Yes
No
Permissions & Authorizations
Do you give your permission to be in photos and videos?
*
Yes
Do you give permission to share necessary information with funders, partners and the credential issuing agency (Example: Coursera, Google and/or Meridian Health Plan of Illinois/Centene Corp)?
*
Yes
Documents
Please Attach Documents
Government Issued Photo ID (ID Card, Driver's License, School ID or Passport)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature
Today's Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: