Name *

First Name

Last Name

What interests you? *

Moderating a panel

Speaking on a panel

Workshop presentation

Keynote presentation

Peer to peer support

Which topics can you address with experience? *

Being out in the workplace

Being an ally to the LGBTQ community

Creating a new employee resource group (ERG) / business resource group (BRG)

Leading a national ERG

Leading a global ERG

Energizing/re-engaging an ERG

Getting funding for your ERG

Engaging allies with your ERG

Engaging intersectional identities within your ERG

Engaging smaller regional offices with your ERG

Engaging customer-facing employees with your ERG

Engaging manufacturing employees with your ERG

Engaging with LGBTQ community-based organizations

Leveraging your ERG for business / professional development

ERG programming

Trans / Non-Binary concerns

Bi / Pan concerns

LGBTQ corporate social responsibility / advocacy

LGBTQ-inclusive human resources policies

LGBTQ-inclusive marketing

LGBTQ-inclusive public policies

HRC Corporate Equality Index

Other (specify below)

How do you identify?

LGBTQ

Ally

What are your pronouns?

He/him

She/her

They/them

Other (specify below if you'd like)