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  • Name
  • Organization (Drop-Down List)
  • Email Address
  • Predominant Role on the WG
    • Leader (e.g., Chair, Co-Chair, Vice-Chair, or other elected position/office)
    • Contributing Member
    • Liaison
    • Observer
    • Advisor/Consultant
    • Support (e.g., secretary, technical, administrative)
    • Other (please describe)
  • Engagement Experience (Years Working with ICANN; Drop-Down List)
    • Less than 1 year
    • 1 - 2 years
    • 2 - 4 years
    • 4 - 6 years
    • 6 - 8 years
    • More than 8 years
  • Engagement Intensity (Drop-Down List; Average Hours/Month)
    • Less than 10 hours
    • 10 - 20 hours
    • 20 - 40 hours
    • 40 - 60 hours
    • 60 - 80 hours
    • More than 80 hours

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