At-Large Statement of Interest (SOI) Form
1) Please enter your Name: |
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2) Picture/Image: | |
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: |
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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): |
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10) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable): | Pilot Holistic Review (2024- ...) Continuous Improvement program Community Coordination Group (2023 -...) At-Large Consolidated Policy Working Group (participant) At-Large Operations, Finance and Budget Working Group (OFBWG) (participant) WS2 & ATRT3 & TOR Holistic Review shepherd Previous participations ICANN Board (Selected by At-Large) 2010 - 2014 NomCom (ALAC for Europe) 2021 At-Large Leadership Team 2018-2019 (end ICANN63 to end of ICANN66) ATRT3 (2019-2020) - Leader of the Board Work Party ALAC Subcommittee on Finance and Budget (member) At-Large Technology Taskforce (participant) New gTLD Auction Proceeds CCWG member as ALAC rep At-Large Review Implementation Working Group (participant) ATLAS III (participant) ((CCWG-Accountability (member) Rapporteur of the WS2 ICANN Ombuds Office Drafting Team)) As rapporteur I am member of the WS2 implementation team ((At-Large meeting strategy)) ((At-Large ICANN Evolution (ex-IANA/ICANN-accountability))) |
11) Additional information (optional): | Links to comments of the ccwg report(s) |
12) Page last revised: |
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At-Large SOI Template v3 (Feb 2014)