At-Large Statement of Interest (SOI) Form
1) Please enter your Name: |
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2) Picture/Image: |
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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): |
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b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term): |
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c) An ICANN-accredited At-Large Structure (if so, which one): |
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d) Any ICANN Committee, Constituency or Stakeholder Group (if so, which one(s))? |
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e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position): |
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4) Please identify your current employer(s): |
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5) Please identify your current position(s): |
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6) Please identify the type(s) of work performed: |
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7) Please identify your declared country of primary residence: |
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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: |
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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? |
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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? |
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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): | |||
11) Additional information (optional): | Fellow at ICANN75 Kuala Lumpur 2022 and ICANN78 Hamburg 2023 with the Tarek Kamel Fellowship Recognition Award, in recognition of the Fellows' outstanding contributions in promoting ICANN's capacity building efforts in their respective regions. *Internet Society as an instructor in Learning @ Internet Society its learning platform, in the courses “Internet Governance” and “Introduction to Network Operations”. With the interest in the implementation of best practices, standards and cybersecurity in IoT devices, wireless technologies and internet, and mainly in the implementation of strategies to promote participation and learning in university students, being one of them the linkage with the various sectors that impact their professional development. | ||
12) Page last revised: |
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At-Large SOI Template v3 (Feb 2014)