Speaker Bio Submission - USED ON SPONSOR PORTAL DO NOT DELETE OR MODIFY

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

Last Name (for sorting)

I'm speaking at:*

Debug 2020

Save to event taxonomy

Company Name*

Job Title*

Email*

Mobile Phone Number*

(HIDDEN) Shirt Size*

Speaker Bio*

Photo*

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

Twitter Handle*

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

Linkedin*

Please link to your personal LinkedIn profile.

Instagram Handle*

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

Assistant Name

Assistant Email

(HIDDEN) Address Type

International
USA

(HIDDEN) Mailing Address

Street Address Address Line 2 City State ZIP Code

(HIDDEN) International Mailing Address

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

I identify as*

Check all that apply.

Agreement

Yes, I have read the Speaker Policy.

Policy here: bit.ly/SPEAKERPOLICY
Initial here

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 michelle@lesbianswhotech.org if you have any questions. You should receive an email from someone on our team about registration next steps.

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: April 24th & 25th.

If you have confirmed something with someone on our team, put N/A.

Initial here

(Hidden) Yes, I understand my slides are due by April 15.

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 - November 16-20th - unless the Lesbians Who Tech & Allies team has already confirmed a time with me.

social*

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

Name

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