NCSG Membership Application (Organization)

1 Applicant 2 Constituency Selection 3 Complete

Organization

IMPORTANT
Please review our Membership Approval Process.

We request personal information from applicants for membership, in order to determine their eligibility to join. By submitting your personal data and applying for NCSG membership, you are consenting to this initial processing. Upon approval of your membership, we will add you to our NCSG membership mailing list as well as any of the constituencies of your choice. You may withdraw from the mailing list(s) at any time, but this may result in your membership becoming dormant should you fail to follow NCSG activities independently, i.e. by reading the archives. Full details of what your consent to the collection, use and disclosure of your personal information entails are provided in our privacy policy.

By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and with the NCSG privacy policy. I agree to abide by the website Terms of Service.

Organization Name *

Website *

Organization Representative

First Name *

Last Name *

Email *

Organization mailing address

City *

Country *

Director of the Organization

First Name

Last Name

Stated Mission of Organization *

How is Organization funded? *

Note: This question does not require the you identify specific funding sources but generally describe whether you receive funding from individuals, private or public grants, corporate sponsorship, sales of goods or services or any other sources or any combination thereof.

Organisation Size *

Section 2.2.3 of the NCSG Charter defines large organizations and small organizations: "a. Organizations that have more than 50 employees, or are membership organizations with more than 500 individual members, shall be classified as “large organizations”. b. Organizations that are composed of 10 or more organizational members that qualify as “large” under criterion (a.) above shall be classified as “large organizations”. c. Organizations that do not qualify as large organizations shall be classified as “small organizations”. Please select one classification.

Additional Representative (if any)

First Name

Last Name

Please affirm the following statements (by checking each box below):

non-commercial purposes - check *

My organization operates on a not-for-profit basis primarily for noncommercial purposes, and is the exclusive owner of at least one noncommercial domain name, and is engaged in online activities that are primarily noncommercial.

non-commercial members - check *

If a membership-based organization, the organization is noncommercial itself, has a primarily noncommercial focus, and the membership is primarily composed of noncommercial members. Please note that this statement does not restrict organizations from offering goods or services for sale providing that the proceeds of the sale are directed toward mission activities.

rules - check *

My organization agrees to abide by the written rules & regulations, including charters & ICANN bylaws, of the NCSG & terms and conditions laid down by it.

supports mission *

My organization supports the mission of NCSG and recognizes the importance of the noncommercial voice in Internet governance and, as appriopriateappropriate, provide support for NCSG’s positions in the multi-stakeholder process.

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NCSG Membership Application (Organization)