Terri Agnew - SOI

Terri Agnew - SOI

  1. Your Name

Terri Agnew

Personal Profile Picture/Image (Optional):
(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).

 

  1. Stakeholder Group: (please select one)

Commercial Stakeholder Group (CSG)
Non-Commercial Stakeholder Group (NCSG)
Registrar Stakeholder Group (RrSG)
Registries Stakeholder Group (RySG)
  1. Constituency: (if CSG or NCSG is selected in #2, please select one)

Business Constituency (BC)
Intellectual Property Constituency (IPC)
Internet Service Providers and Connectivity Providers Constituency (ISPCP)
Non-Commercial Users Constituency (NCUC)
Not-for-Profit Operational Concerns (NPOC)
  1. ICANN Affiliation (if not covered by item 2 or 3, please select one):

Independent
At-Large / RALO
Address Supporting Organization (ASO)
Country Code Names Supporting Organization (ccNSO)
At-Large Advisory Committee (ALAC)
Governmental Advisory Committee (GAC)
Root Server System Advisory Committee (RSSAC)
Security and Stability Advisory Committee (SSAC)
  1. Please identify your current employer(s):

Test Company

  1. Please identify your current position(s):

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  1. Please identify the type(s) of work performed:

Customer Service

  1. Please identify your declared country of primary residence (e.g., country to which you pay taxes):

United States of America

  1. Please list any financial relationship beyond de minimis stock ownership you may have with any company that to your knowledge has a financial relationship or contract with ICANN:

none

  1. Do you believe you are participating in the GNSO policy process as a representative of any individual or entity, whether paid or unpaid?

Yes
No

If the answer is “Yes,” please provide the name of the represented individual or entity. (If professional ethical obligations prevent you from disclosing this information, please enter "Private"):

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  1. Please identify any other relevant arrangements, interests, or benefits as requested in the following two questions:

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a. Do you have any type of material interest in ICANN GNSO policy development processes and outcomes?

Yes
No

If the answer is “yes,” please describe the material interest in ICANN GNSO policy development processes and outcomes:

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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?

Yes
No

If the answer is “yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s):

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  1. Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable):

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  1. Additional Information (optional):

making sure this works

  1. Page last revised (updates automatically):