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

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Last Name (for sorting)

I'm speaking at:*

2022 San Francisco

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Save to event taxonomy

Company Name*

Job Title*

Email*

Mobile Phone Number*

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(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*

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(HIDDEN) Address Type

International

USA

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(HIDDEN) Mailing Address

Street Address Address Line 2 City State ZIP Code

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(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

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Yes, I have read the Speaker Policy.

Policy here: bit.ly/SPEAKERPOLICY
Initial here

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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

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

Initial here

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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

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

Initial here

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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 - October 10th-15th, unless the Lesbians Who Tech & Allies team has already confirmed a time with me.

Pay It Forward*

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.

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.

Name

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