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San Francisco Summit 2023 Speaker Bio Submission

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

"*" 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

I'm speaking at:*

2023 San Francisco

Will you be using slides/visual aid(s) for your presentation?*

Yes, I will use slides and submit them to you by October 1

No, I will not be using slides or visuals for my presentation

Company Name*

Job Title*

Email*

Mobile Phone Number*

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

Assistant Phone

Best Cell Phone for Day of Logistics*

Pronouns*

She/Her

He/Him

They/Them

She/They

He/They

Mx

Zee/Zir

Ey/Em

Other

I choose not to disclose

Other Pronouns*

Gender Identity*

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*

Lesbian

Gay

Ace/Asexual Spectrum

Bisexual

Pansexual

Queer

Straight

Ally

Other

I choose not to disclose

Other Sexual Orientation*

Race/Ethnicity*

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*

T-Shirt/Hoodie Size*

XS

SM

MD

LG

XL

XXL

XXXL

Your Address*

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

Agreement

Speaker Policy*

I have read the Speaker Policy.

Speaker Policy here: bit.ly/SPEAKERPOLICY2023

Summit Dates*

I understand I have to hold the following Summit dates - October 16th-17th (virtually) and October 19th - 20th (in-person), unless the Lesbians Who Tech & Allies team has already confirmed a time with me.

Summit Registration*

Yes, I understand that if my company has 100 or more employees, we ask them to purchase a VIP Summit ticket.

social*

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

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ACF Job Title

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ACF Company

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ACF Last Name

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ACF Summit

Email

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