Third Annual White House LGBTQ Tech & Innovation Nomination Form
The White House Office of Public Engagement & Office of Science and Technology Policy are looking for technologists, innovators and community leaders to participate in this year's White House LGBTQ Tech & Innovation Summit on August 23rd, 2016.

Purpose //

The Summit will bring together over 200 of the most innovative and talented LGBTQ technology leaders to tackle some of the world's greatest challenges. We will spend the day learning about different issues and breaking out into teams to come up with ways to solve specific problems facing America and the world. Potential challenges include: gun violence prevention, gender equity, big data and privacy, voting rights, the environment, tech inclusion, prison reform and energy.

Who Should Apply //

We encourage you to apply and nominate leaders using the form below. We are looking for a mix of technologists, including engineers, data scientists, designers, entrepreneurs, product and marketing specialists. Please note that all nominees should be LGBTQ, team players and outside the box thinkers.

Background on the White House LGBTQ Tech & Innovation Summit //

Recode press from last year bit.ly/WhiteHouseLGBTQ
Facebook Photos bit.ly/WhiteHouseFacebookPhotos
Our hashtag bit.ly/TwitterWHLGBTQTECH

Please share this application with your employee resource and community groups that include, but are not limited to: LGBTQ / Women / Black / Latino / Asian / Veterans / People living with a disability. Members of the LGBTQ community exist within all groups. We encourage you to reach beyond your LGBTQ networks.


Selection Process //
People will be chosen on skills and diversity.

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First Name *
Last Name *
Company Name *
Job Title *
Email *
Twitter Handle
City *
Nominee Identifies as *
Check any that apply
Required
Skills *
Check all that apply
Required
Nominated By
 Self-nominations are welcomed and encouraged
Preferred Pronoun
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Linkedin Profile *
Anything else we should know?
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