Learner Application for Certification Voucher

To be eligible for a certification voucher:
- You must have completed the Architecting with Google Compute Engine Specialization on Coursera.
- You must have completed at least two Qwiklabs quests (if you apply for the voucher after Jan 31, 2020).
- Check the Associate Cloud Engineer certification page: https://cloud.google.com/certification/cloud-engineer
for recommended quests.

Google reserves the right to determine an individual's eligibility for training and certification credits.

By submitting this form, you, on behalf of yourself and the organization you represent ("You") agree to these terms and conditions: The credit is valid for Google Cloud training and certification and is subject to Your acceptance of the applicable terms of service for the training and certification platforms. The credit is non-transferable and may not be sold or bartered. Unused credit expires on the date indicated on the media conveying the credit information. The credit may be issued in increments as You use the credit over the period of time during which the credit is valid. Offer void where prohibited by law.

If you are an employee of your institution, you represent that you are accepting the promotional credit on behalf of your educational institution and the credit can only be used on behalf of the educational entity and not for your personal use. You represent, on behalf of such educational entity, that (i) You are authorized to accept this credit in accordance with your institution’s policies; (ii) the credit is consistent with all applicable laws and regulations, including relevant ethics rules and laws; and (iii) the provision of credits will not negatively impact Google’s current or future ability to do business with such educational entity.

You agree that we may share the following information with your educational institution and course instructor: (1) personal information that you provide to us during the credits redemption process and (2) information regarding your use of the credits and Google Cloud Platform products.
Please select your role *
First Name *
Your answer
Last Name *
Your answer
Email Address (specify the email address you used for your Coursera account) *
Your answer
Department *
Your answer
Country *
Your answer
Academic Institution *
Your answer
URL of Coursera Specialization completion certificate *
Your answer
URL of Qwiklabs public profile (see faq on how to make Qwiklabs profile public: https://support.google.com/qwiklabs/answer/9222527?hl=en)
Your answer
Additional Information
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Google.com. Privacy & Terms