Further to Peter forwarding his extracted framework for a Conflicts of Interest policy for our consideration and use, I thought it might be useful to forward a sample set of the most recent Declaration of Interest form(s) that ALAC has implemented for one of our Work Groups (the BCEC) and based on types of statements requested from GNSO WG participants. <div>
<br></div><div>Perhaps some aspects of this type (and level) of disclosure (need to specifically purpose the questions to our role of course) being presented for the record by each of us, coupled with an operating principal of 'Continuous Disclosure' might be something we could consider utilizing as well... <br>
<div><br></div><div><br clear="all">Cheryl Langdon-Orr<br>(CLO)<br><br>
<br><br><div class="gmail_quote">---------- Forwarded message ----------<br>From: <b class="gmail_sendername">Cheryl Langdon-Orr</b> <span dir="ltr"><<a href="mailto:langdonorr@gmail.com" target="_blank">langdonorr@gmail.com</a>></span><br>
Date: 20 April 2010 13:03<br>Subject: Declaration of Interests and agreement to Operational Proceedures statement REQUIRED for BCEC Members 2010<br>To: <a href="mailto:bcec@atlarge-lists.icann.org" target="_blank">bcec@atlarge-lists.icann.org</a>, Heidi Ullrich <<a href="mailto:Heidi.Ullrich@icann.org" target="_blank">Heidi.Ullrich@icann.org</a>><br>
<br><br><div>Please find attached my Declaration of Interests and affirmation to the BCEC Operational Procedures documentation (DRAFT) note my statement included my agreement to abide by future changes to the OP's as they become finalized...</div>
<div><br></div><div>Also find attached a couple of versions of the questions (also inserted as body text below) to allow you all to fill out and return for our file and public listing on our BCEC Wiki and list archives by return email if you wish to print and fax a signed copy to Heidi at the MdR office please contact her to arrange the correct number to use and she will in turn create the document into a PDF for posting to the wiki.</div>
<div><br></div><div>Thank you</div><br clear="all">Cheryl Langdon-Orr<br>(CLO)<br><br>
<div><br></div><div>Declaration of Interests and agreement to Operational Proceedures statement for BCEC 2010 Questions to be filled out and filled as well as declaration to Operational Procedures for BCEC follows>>>></div>
<div><span style="font-size:large"><br></span></div><div><div><b><span style="font-size:large">Subject: Declaration of Interests and commitment to BCEC Operating Procedures: -</span></b></div>
<div><b>NAME:</b></div><div><br></div><div><b>1. Current vocation, employer and position:</b></div><div><br></div><div><br></div><div><b>2. Type of work performed in 1 above:</b></div><div><br></div><div><br></div><div><b>3. Identify any financial ownership or senior management/leadership interest in registries, registrars <span class="Apple-style-span" style="font-weight: normal; "><b>or other firms that are interested parties in ICANN policy or any entity with which ICANN has a <span class="Apple-style-span" style="font-weight: normal; "><b>transaction, contract, or other arrangement:</b></span></b></span></b></div>
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<b>4. Identify any type of commercial interest in ICANN policy development outcomes. Do you represent <span class="Apple-style-span" style="font-weight: normal; "><b>other parties in any PDP processes?</b></span></b></div>
<div><br></div><div><br></div><div><br></div><div><b>5. Geographic Region associated with the nationality of volunteer (Africa, North America, Latin <span class="Apple-style-span" style="font-weight: normal; "><b>America/Caribbean, Asia/Australia/Pacific and Europe):</b></span></b></div>
<div><br></div><div><br></div><div><b>6. Stakeholder Group(s) AC's or SO's in which I volunteer or currently participate within ICANN:</b></div>
<div><br></div><div><br></div><div><b>7. Formal Statement of Commitment to the BCEC Operating Principals (DRAFT) and as modified and <span class="Apple-style-span" style="font-weight: normal; "><b>adopted by the BCEC at a future date.</b></span></b></div>
<div>{see section 6. Formal Statement of Commitment to the BCEC Operating Principals code and procedures found at <a href="https://st.icann.org/absdt/index.cgi?draft_bcec_operating_principles" target="_blank">https://st.icann.org/absdt/index.cgi?draft_bcec_operating_principles</a> }</div>
</div><blockquote style="margin:0 0 0 40px;border:none;padding:0px"><div><div>1. I understand the core objectives of the BCEC and fully agree to strictly adhere to this code and operating procedures as well as the ICANN Conflict of Interests Policy (as may be amended from time to time), and that failure to do so will constitute grounds for my immediate removal from the Committee.</div>
<div><br></div></div><div><div>2. By my signature below, I certify that I have read and understood the above provisions [as per the current draft and all agreed future modifications thereof] of the above provisions and that I agree to follow them.</div>
<div><br></div><div><br></div></div></blockquote><div><div>Sign date and or certify here</div></div><div><br></div>
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