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Pride Summit 2023 Speaker Bio Submission

Pride Summit 2023: June 12th - 16th

Please fill out the following form to submit your speaker bio to Lesbians Who Tech.

"*" indicates required fields

Are you filling this form out for someone else?*

No, I'm the speaker.

Yes, I'm submitting a bio for a speaker other than myself.

Your Name*

First Last

Your Email*

Speaker Information

Name*

First Last

Pronouns*

She/Her

He/Him

They/Them

She/They

He/They

Mx

Zee/Zir

Ey/Em

Other

I choose not to disclose

Other Pronouns*

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Last Name (for sorting)

I'm speaking at:*

2023 Pride Summit

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Company Name*

Job Title*

Email*

Mobile Phone Number*

Hidden

(HIDDEN) Shirt Size*

Speaker Bio*

Photo*

Please upload a high-res, square image that's at least 500x500px and no larger than 2mb

Accepted file types: jpg, jpeg, png, gif.

Linkedin*

Please link to your personal LinkedIn profile.

Twitter Handle*

If you're not on Twitter, write N/A

Instagram Handle*

If you're not on Instagram, write N/A

Assistant Name

Assistant Email

Best Cell Phone for Day of Logistics*

Hidden

(HIDDEN) Address Type

International

USA

Hidden

(HIDDEN) Mailing Address

Street Address Address Line 2 City State ZIP Code

Hidden

(HIDDEN) International Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender Identity*

Check all that apply.

Woman

Man

Transgender

Nonbinary

Gender Non-Conforming

Bigender

Cisgender

Gender Queer

Gender Fluid

Agender

Other

I choose not to disclose

Other Gender Identity*

Sexual Orientation*

Check all that apply.

Lesbian

Gay

Ace/Asexual Spectrum

Bisexual

Pansexual

Queer

Straight

Ally

Other

I choose not to disclose

Other Sexual Orientation*

Race/Ethnicity*

Check all that apply.

Asian

Black/African-American

Indigenous/Native American

Latinx

Native Hawaiian/Pacific Islander

Middle Eastern

White/Caucasian

Other

I choose not to disclose

Other Race/Ethnicity*

Agreement

Hidden

Yes, I have read the Speaker Policy.

Policy here: bit.ly/SPEAKERPOLICY
Initial here

Hidden

Yes, I understand that if my company has 100 or more employees, we ask them to purchase a pay-it-forward ticket to support our scholarship fund.

Please email speakers@lesbianswhotech.org if you have any questions.

Initial here

Hidden

Yes, I understand my guests have to purchase a ticket.*

Initial here

Hidden

Yes, I understand I have to hold the Summit dates :: October 10-15th. Lesbians Who Tech & Allies will determine if my session is in-person or virtual.

If you have already confirmed a date with someone on our team, put N/A.

Initial here

Hidden

Yes, I understand if I am selected to speak in-person, my slides are due by October 1

Initial here

Hidden

Yes, I will do my best to promote #LWTSummit on social media.

Initial here

Speaker Policy*

I have read the Speaker Policy.

Speaker Policy here: bit.ly/LWTSPEAKERPOLICY

Summit Dates*

I understand I have to hold the following Summit dates - June 12-16th, unless the Lesbians Who Tech & Allies team has already confirmed a time with me.

social*

Yes, I will do my best to promote #PrideSummit on social media.

privacy*

Yes, I understand that by speaking at Lesbians Who Tech & Allies I am agreeing that my picture and bio will be listed for this summit and on your website and that future requests to have these removed will not be honored except for extenuating circumstances.

Email

This field is for validation purposes and should be left unchanged.

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