Nominate Speaker

I am nominating myself

First Name of Nominee *

Last Name of Nominee

Email *

Phone *

Address *

Address

City

State/Province

Zip/Postal

Country

Gender *

Male

Female

Other

Please share a brief biography that includes information about this potential future AGBT speaker’s connection to their talk topic. *

What is the unique idea that they want to share? In a few sentences, please describe the core of the idea, and what makes the idea new. *

Text

In one sentence, what is the key takeaway that you want the audience to know or feel after hearing this speech? *

What is the speaker's area of expertise? *

Has this person spoken publicly before? If so, where?

Please provide links to online video or audio featuring the proposed speaker.

Please provide links to any articles or web pages about the speaker.

Do you know this person personally? - It’s okay if you do not.

Yes

No