| contentAdfStringified | {"type":"doc","version":1,"content":[{"type":"heading","attrs":{"level":1},"content":[{"text":"At-Large Statement of Interest (SOI) Form","type":"text"}]},{"type":"table","content":[{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"1) Please enter your Name:","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"paragraph","content":[{"type":"inlineExtension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"short-text","parameters":{"id":"uhodx9k19b","extensionKey":"short-text","name":"NAME","placeholder":"","isRequired":false,"width":"250px","type":"line","content":"text","atlassian-macro-output-type":"INLINE"}}}]},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"2) Picture/Image:","type":"text"},{"type":"hardBreak"},{"text":"(","type":"text","marks":[{"type":"em"}]},{"text":"Instructions","type":"text","marks":[{"type":"underline"},{"type":"em"}]},{"text":": Click in the field to the right to open up the text input window. Then click the <Insert> menu button, select <Image>, then choose (or browse) to locate an image file (e.g., JPG, PNG, BMP) from your local computer to upload. After insertion, please click on the picture and adjust the size to no larger than 200 pixels).","type":"text","marks":[{"type":"em"}]},{"text":" ","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"lvw04fhef7","extensionKey":"paragraph","name":"IMAGE","isRequired":false,"atlassian-macro-output-type":"BLOCK"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"3) Are you participating in the At-Large advisory process (including email and real-time discussions) as a representative of:","type":"text"}]}]},{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"a) ALAC (if so, detail the region and term):","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"bf5p33uhv8","extensionKey":"paragraph","name":"ALAC","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term):","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"wn2gkseu99","extensionKey":"paragraph","name":"RALO","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"c) An ICANN-accredited At-Large Structure (if so, which one):","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"13ivk9xx83","extensionKey":"paragraph","name":"ALS","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"d) Any ICANN Committee, Constituency or Stakeholder Group (if so, which one(s))?","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"go6zj24kbw","extensionKey":"paragraph","name":"COMMITTEE","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position):","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"w5f9ahobci","extensionKey":"paragraph","name":"OTHER","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"4) Please identify your current employer(s):","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"my6ezqk62g","extensionKey":"paragraph","name":"EMPLOYER","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"5) Please identify your current 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performed:","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"azby4dg7pm","extensionKey":"paragraph","name":"WORKTYPE","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"7) Please identify your declared country of primary residence:","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"paragraph","content":[{"type":"inlineExtension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"short-text","parameters":{"id":"p1z108liy0","extensionKey":"short-text","name":"COUNTRY","placeholder":"","isRequired":false,"width":"250px","type":"line","content":"text","atlassian-macro-output-type":"INLINE"}}}]},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"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:","type":"text"}]}]},{"type":"tableCell","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"type":"hardBreak"}]},{"type":"extension","attrs":{"extensionType":"com.atlassian.confluence.macro.core","extensionKey":"paragraph","parameters":{"id":"s4ng13f47e","extensionKey":"paragraph","name":"RELATIONSHIP","isRequired":false,"width":"250px","content":"text","atlassian-macro-output-type":"INLINE"},"layout":"default"}},{"type":"paragraph","content":[{"type":"hardBreak"}]}]}]},{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":1,"rowspan":1},"content":[{"type":"paragraph","content":[{"text":"9) Please identify any other relevant arrangements, interests, or benefits as requested in the following two 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| excerpt | At-Large Statement of Interest (SOI) Form 1) Please enter your Name: Maureen Hilyard 2) Picture/Image: ( Instructions : Click in the field to the right to open up the text input window. Then click the <Insert> menu button, select <Image>, then choose (or browse) to locate an image file (e.g., JPG, PNG, BMP) from your local computer to upload. After insertion, please click on the picture and adjust the size to no larger than 200 pixels). 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): Asian, Australasian and Pacific Islands Representative on the ALAC b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term): Asian, Australasian and Pacific Islands (APRALO ALAC member 2013-2023) c) An ICANN-accredited At-Large Structure (if so, which one): Cook Islands Internet Action Group (CIIAG, President, 2010-present) d) Any ICANN Committee, Constituency or Stakeholder Group (if so, which one(s))? ALAC (APRALO) NomCom Representative (AGM 2023-AGM 2024); ALAC Chair (AGM2018-AGM2022); ALAC Vice Chair (AGM 2022-2023, AGM 2017-AGM 2018); At-Large Advisory Committee member (ALAC, AGM 2013-AGM 2023); ALAC Liaison to the ccNSO (AGM 2012-AGM 2017) e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position): Co-Chair (&CoFounder) Dynamic Coalition of Small Island Developing States in the Internet Economy (DC-SIDS); DNS Abuse Institute Advisory Council (DNSAI, Member); Former DotAsia Board (Board Chair); Former Public Interest Registry Advisory Council (PIRAC, Member); Former Board Chair Pacific Islands Chapter of the Internet Society (PICISOC, ALS Member) 4) Please identify your current employer(s): Self-employed 5) Please identify your current position(s): Digital Transformation and Development Consultant; Gender, Social and Environmental Safeguards Specialist 6) Please identify the type(s) of work performed: Development Project Services for the Cook Islands Government and Donor organisations (UNDP, ADB); NZAID/MFAT (NZGovernment), DFAT (Australian Government) 7) Please identify your declared country of primary residence: Cook Islands 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: None 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? No 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? No 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): (2024) ALAC NomCom Representative (APRALO) GNSO Guidance Process for the new gTLD Applicant Support Programme - member At-Large Outreach and Engagement WG - member At-Large Policy (CPWG) - member At-Large Operations, Finance & Budget WG (OFBWG) - member At-Large Capacity Building WG member APRALO Leadership Team member (2023) ALAC Vice Chair ALAC Leadership Team (ALT) -member At-Large Leadership Team (ALT+) - member GNSO Guidance Process for the new gTLD Applicant Support Programme - member At-Large Outreach and Engagement WG - member At-Large Policy (CPWG) - member At-Large Operations, Finance & Budget WG (OFBWG) - member At-Large Capacity Building WG member APRALO Leadership Team member (2019 - 2022) ALAC Chair SO-AC Chairs Group ALAC Leadership Team (ALT) Chair At-Large Leadership Team (ALT+) Chair ALAC Empowered Community Representative At-Large Organisational Stream Chair ALAC Finance and Budget Committee Chair At-Large Appointment Selection Committee Chair At-Large Review Implementation WG Chair At-Large Policy (CPWG) Member At-Large Operations, Finance & Budget WG (OFBWG) member At-Large Outreach and Engagement Sub-Committee member ALAC and APRALO Leadership Team member At-Large Capacity Building WG member ATLASIII WG Co-Chair (completed) GNSO CCWG Auction Proceeds Member (completed) GNSO PDP WT5 - Observer (completed) Past positions ALAC Liaison to the ccNSO Council ALAC Leadership Team ccNSO CCPDP on Retirement of ccTLDs At-Large Review WG At-Large Global Ambassador Selection Committee At-Large Tribal Ambassador Selection Committee APRALO General Assembly Organising Committee (Hyderabad, Abu Dhabi) At-Large Metrics WG At-Large ALS Criteria WG At-Large Board Member Selection Process Committee (BMSPC - alternate) APRALO Hyderabad Organising Committee APRALO Leadership Team Mentorship Programme ATLAS II Implementation WG RALO Secretariat ATLAS II - Fayre of Opportunities ALAC Accessibility WG ALAC New Meeting WG APRALO - Showcase Organising Committee for Beijing 2013, Singapore 2014, 2015 ccNSO - Freedom of Interpretation WG ccNSO - Geographic Regions WG ALAC - Rules of Procedure WG 11) Additional information (optional): LinkedIn: http://www.linkedin.com/in/maureen-hilyard-consultant/ 12) Page last revised: May 3, 2022 =========================== At-Large SOI Template v3 (Feb 2014) |
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