|
ICANN
Nominating Committee
Statement of Interest
If you agree to be considered for
selection by the ICANN Nominating Committee (NomCom)
please complete this Statement of Interest.
If any required item is missing
information, the Statement of Interest will be considered
incomplete and you will not be considered a Candidate
for selection by the NomCom.
Therefore, please ensure that you
complete all of the required items (a-o) below. Item
p is optional.
Please complete this form in English
and limit your response to less than 3,500 words.
Once your Statement of Interest
is complete, please e-mail it to <nomcom.submissions@icann.org>.
NomCom will only consider electronic submissions via e-mail.
Use of plain text is highly encouraged.
There should be no additional attachments to this
Statement of Interest (e.g., do not attach any Resume/CV).
Please provide the meaning of any
acronyms used to reference an organization or activity,
and state the purpose of the organization or activity.
5 May 2003 is the deadline for your
submission to be received by NomCom
for full consideration.
========
BEGIN
Required (a) Your name (first name,
family name)
[Insert
your name here.]
Required (b) Your e-mail address
[Insert
your e-mail address here.]
Required (c) Your telephone number
[Insert
your telephone number here; please include country
and city/area codes.]
Required (d) Your country of citizenship
[Insert
your country of citizenship here. If dual citizenship,
please state both.]
Required (e) Your country of residence
[Insert
your country of residence.]
Required (f) Position(s) for which
you would like to be considered.
(Mark all that apply.)
___ICANN
Board ___GNSO Council ___ Interim ALAC
Required (g) Current role and accomplishments
in the Internet community
[Please
tell us about your previous/current roles in the Internet
community.]
Required (h) Current and past 'professional'
positions/roles/accomplishments
[Please
tell us about your experience profile.]
Required (i) Current and past 'volunteer' positions/roles/accomplishments
[What
other volunteer positions/accomplishments would you
like to tell us about because of their bearing on
your Candidacy?]
Required (j) Statement about what
you would contribute to ICANN and its mission.
[Please
state clearly how you see yourself contributing to
ICANN and its mission.]
Required (k) Statement about how you
meet the criteria for the position(s) (See Section
F in the Formal Call for eligibility, criteria and
other selection factors)
[Insert
your answer here.]
Required (l) A list of two or three
persons whom NomCom may
contact about your candidacy, giving their names,
e-mail addresses, telephone numbers, professional
positions, and a brief description of your relationship
with them.
[Insert
your references and the requested information about
them here.]
Required (m) If selected to serve,
are you willing to serve:
(Mark all that apply.)
___
through close of ICANN Annual meeting in 2003.
___ through close of ICANN
Annual meeting in 2004.
___ through close of ICANN
Annual meeting in 2005.
___ through close of ICANN
Annual meeting in 2006.
[See
the Formal
Call Section E: Positions to be filled and their
associated Terms of Duty. The terms vary in length
due to the transition to the new ICANN Structure.]
Required (n) Under the NomCom's procedures, your candidacy will be treated
by NomCom as confidential
unless you give NomCom your permission to disclose it or unless NomCom is consulting your references and doing third-party
reference checks from selected sources on a confidential
basis. Once selections are made, the NomCom
will make the identities of the selected Candidates
public. Although NomCom will take reasonable steps to ensure that its
confidentiality procedures are followed, Candidates
shall have no claims against ICANN, the NomCom,
or affiliated persons in the event information is
disclosed despite these procedures.
You
also authorize the NomCom
to consult with your references and do third-party
reference checks. You will not be entitled to review
or access any of the information received, generated,
or considered by the NomCom
regarding any Candidate, or any of the NomCom's
discussions or deliberations regarding any Candidate.
Candidates have no right to challenge or seek review
of the NomCom's selections.
Please
confirm your understanding and agreement with these
arrangements by marking the box below:
_____Yes,
I agree to be a Candidate under these confidentiality
and other arrangements.
Optional (o) Is there any additional
information you would like to submit that would be
helpful to NomCom in making its decision? If so, please summarize
it here.
[Insert
your answer here.]
========
END
NomCom values your interest in being a candidate for the positions
it is charged to fill. We expect and rely on your
integrity in presenting your qualifications and experience.
We appreciate your effort in completing this Statement
of Interest.
|
