QT Connect Café Guest Nomination Form
Tell us who you think would make a great guest on our QT Connect Café series.

Nominate your favorite LGBTQ+ Techie, Entrepreneur, Leader, Change Maker today!

Sign in to Google to save your progress. Learn more
Nominee's First Name *
Nominee's Last Name *
Nominee's pronouns *
Gender identity and sexual orientation: how does the nominee identify as? *
QT Connect Café aims at showcasing role models from the whole LGBTQ+ community. We are asking this question to ensure that all communities are fairly represented in our episodes.
Required
Nominee's current job position *
Nominee's current employer
Tell us three reasons why we should interview this person (one sentence each) *
Tell us one question you would ask to the nominee
Nominee's LinkedIn Profile URL *
If not available, please indicate another social media profile URL of the nominee
Nominee's Email (if available)
Your Name *
Your email address *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of QueerTech. Report Abuse