Please note that most fields below are optional. We also strongly encourage you to fill out the Queer in AI Demographics Survey which provides QinAI with information about our community we use to help advocate for LGBTQ+ people in AI. Please note only the organizers have access to the information collected in this survey, and will delete all the information other than email addresses once ICLR 2024 ends. Please only provide information you would entrust to people from these groups. In addition, never entrust potentially vulnerable computer systems with information that could endanger you. This form is not owned by Google. If you have any questions or concerns regarding the process or don't want to entrust your personal information to a Google document, you can reach out to the Queer in AI organizers directly.