At-Large Statement of Interest (SOI) Form
1) Please enter your Name:
3) Are you participating in the At-Large advisory process (including email and real-time discussions) as a representative of:
a) ALAC (if so, detail the region and term):
Yes, EURALO appointed ALAC Member
b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term):
c) An ICANN-accredited At-Large Structure (if so, which one):
EURALO Individuals’ Association
d) Any ICANN Committee, Constituency or Stakeholder Group (if so, which one(s))?
e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position):
University of Lodz / Tenured Professor of International Law 2008 - Present European Union Agency for Fundamental Rights / Scientific Committee member 2018 - Present
4) Please identify your current employer(s):
University of Lodz, Poland
5) Please identify your current position(s):
6) Please identify the type(s) of work performed:
7) Please identify your declared country of primary residence:
8) Please list any financial relationship beyond de minimus stock ownership you may have with any company that to your knowledge has a financial relationship or contract with ICANN:
9) Please identify any other relevant arrangements, interests, or benefits as requested in the following two questions:
a) Do you, your employer, and/or sponsor have any type of material or financial interest in the At-Large advisory process and its outcomes?
If the answer is “Yes,” please describe the interest:
b) Are there any arrangements/agreements between you and any other group, constituency or person(s) regarding your participation as a work team member?
If the answer is “Yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s):
10) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable):
At-Large Vice Chair for Outreach and Engagement At-Large Capacity Building WG co-chair At-Large Outreach and Engagement WG At-Large Consolidated Policy WG
At-Large Vice Chair for Outreach and Engagement
At-Large Capacity Building WG co-chair
At-Large Outreach and Engagement WG
At-Large Consolidated Policy WG
11) Additional information (optional):
Please see Joanna Kulesza SOI for my GNSO participation.
12) Page last revised:
At-Large SOI Template v3 (Feb 2014)