* 1. Which country do you currently reside in? To be eligible, you DO NOT have to be domiciled in a country within the ARIN service region.

* 2. Have you previously attended an ARIN Meeting IN-PERSON within the past five years?

* 3. Have you participated in an ARIN Meeting REMOTELY?

* 4. Have you previously received an ARIN Fellowship?

* 5. Do you agree to eventually sign the Terms and Conditions of the ARIN Fellowship Program?

* 6. Provide your contact information below:

* 7. What interests you about ARIN?

* 8. What do you intend to accomplish by attending an ARIN Meeting?

* 9. How do you think your ARIN Meeting experience will benefit you or your organization when you return home?

* 10. If selected how do you intend to share or apply what you learned at your organization and/or within your community?

* 11. IF you reside outside of ARIN's region, please provide a brief explanation of the relevancy of your participation at an ARIN Public Policy and Members Meeting.

* 12. As part of your application, you must be subscribed to the ARIN Announce and Public Policy Mailing Lists. Under what email address are you subscribed with? (You can subscribe to these lists here.)

* 13. Do you need financial assistance for the following? Please select all that apply.

* 14. Please provide the name and contact information of two references who can support your application. Please note that ARIN staff may not be used as references.

* 15. Please provide a brief summary of your professional experience. Please limit your response to 500 words or less and do not include your resume.

* 16. Do you have additional comments you would like to include?

T