NCUC Crop Application ICANN77
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Name: *
Email: *
This opportunity is only open for NCUC members based in the North America (NA) region for ICANN 77 (12-15 June 2023).

Should you be accepted, please give your departure location (city, country) in the region:
In addition to airfare, hotel accommodation is provided for a maximum of 4 days/3 nights.

Please give your preferred arrival and departure dates:
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Short statement explaining why you would like to attend ICANN77 representing NCUC:
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Share 3 ways of engagement with the activities you plan to participate and also explain which working groups or policy discussions are you planning to be engaged with or wish to enhance your participation:
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Last ICANN meeting you attended (hybrid/virtual/physical): *
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