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:*

Pride 2021

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 - June 21-25th - 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.

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.

Phone

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