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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!
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* Indicates required question
Nominee's First Name
*
Your answer
Nominee's Last Name
*
Your answer
Nominee's pronouns
*
Your answer
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.
Gay
Lesbian
Bisexual
Pansexual
Asexual
Queer
Non-binary
Transgender
Genderfluid
Intersex
Two-Spirit
Other
Required
Nominee's current job position
*
Your answer
Nominee's current employer
Your answer
Tell us three reasons why we should interview this person (one sentence each)
*
Your answer
Tell us one question you would ask to the nominee
Your answer
Nominee's LinkedIn Profile URL
*
If not available, please indicate another social media profile URL of the nominee
Your answer
Nominee's Email (if available)
Your answer
Your Name
*
Your answer
Your email address
*
Your answer
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