Instructions:
1. You must be logged in to the Community Wiki with a valid Username and Password in order to complete forms within CROP.
2. Your organization must first complete and get approval for the Outreach Strategic Plan before any CROP trip could be processed.
3. There are two CROP forms required for each Trip: a) a Trip Proposal; b) a Trip Assessment (must be complete within three (3) weeks of all travelers having returned from the event, no later than the assessment due date which is automatically calculated based on the trip return date).
4. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
5. To fill out the the form, click 
(top of the screen)
6. Answer each of the questions that appears within the form. Use the scroll bar (right) to reveal all contents. Click here to read the full instructions
IMPORTANT: This form must be completed by the traveler him/herself.
| Person Completing Form | |||
|---|---|---|---|
| Name: | Lawrence Olawale-Roberts | Date: | 16-Mar-2020 |
Application | |
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Trip Proposal Section | |||||||||||||
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1) Traveler Contact Information and Itinerary:
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| 2) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | As the event starts with workshops and trainings, the Conference segment of the AIS is my target for outreach. Hence, I plan on staying a week at the Conference. I have no peculiar health conditions except for pains in my knee when cramped in a seat for a stretch of 3 hours flying, but my selection of a seat by the emergency exit which provides more leg room to stretch compensates for the stress. I request that the CROP approval also cover the cost of securing a visa to DRC. | ||||||||||||
| 3) Event/Conference Name, Title, or Descriptor: | The event is the AFRICA INTERNET SUMMIT' 2020 and it is holding in KINSHASA, DR CONGO from the 31st May till the 12th June 2020. The Africa Internet Summit (AIS) is an annual, regional, multi-stakeholder ICT conference holding in Africa and it is the pinnacle of educational and business ICT events on the Continent, where key players in the Internet industry can interact with the global Internet community. | ||||||||||||
| 4) Event/Conference Dates: |
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| 5) Event/Conference Website Link: | |||||||||||||
| 6) Primary Event/Conference Location: |
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| 7) ICANN Global Stakeholder Engagement Region: | Africa | ||||||||||||
8) Activity Sponsors: |
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9) Proposed Goals and Outcomes: Content Guidelines (click here) | Improving on efforts at outreach in the last year which attracted 3 new members into the Business Constituency of ICANN, I will be manning a BC Stand at the ICANN Boot for 4 days during the conference, interacting with participants interested in the BC and would make available copies of the BC fact-sheets, media prints and ICANN Info-graphics. Copies of these fore mentioned materials would also be placed at strategic points around the conference venue and distributed at other business sessions during the conference. My Proposed Outreach Outcome and Goals would see that:
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| 10) Additional Information (optional): | Working in conjunction with the ICANN Vice-President and his team, I intend to leverage on the ICANN African Day and the ICANN Special workshops to intimate the audience on the Business Constituency of ICANN and entertain questions from the audience as to the benefits of membership and how business impacts the policy development process globally. | ||||||||||||
11) Consent & Authorization: By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service. If you agree to text above, please fill out your name and date in the box on the right. |
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| _______________________________________________________________ | |||||||||||||
Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Who Confirmed? | Date of Confirmation | Notes |
|---|---|---|---|---|
| The participants identified in this application agree to abide by the terms and conditions of this FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page. | Yes | Chantelle Doerksen | 23-Mar-2020 | Lawrence requests ICANN CROP funding to cover the following three nights: 6-8 June.
He will self-fund and/or seek funding from the BC for the remaining nights. |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Chantelle Doerksen | 23-Mar-2020 | Yes, on behalf of BC Excomm |
| The ICANN Stakeholder Engagement Vice-President has concurred that the Proposed Goals/Outcomes of this Trip Proposal are consistent with operational plans and/or strategies. | Chantelle Doerksen | 23-Mar-2020 | Approved | |
| The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | Yes | Maryam Bakoshi | 25-Mar-2020 | |
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
Lawrence Olawale Roberts | 06-Jun-2020 | 09-Jun-2020 | Airfare |
Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Staff Name | Notes |
Program Criteria Satisfied | 25-Mar-2020 | Maryam Bakoshi | Lawrence requests ICANN CROP funding to cover the following three nights: 6-8 June.
He will self-fund and/or seek funding from the BC for the remaining nights. |
Constituency Travel Notified | 25-Mar-2020 | Maryam Bakoshi | Lawrence requests ICANN CROP funding to cover the following three nights: 6-8 June.
He will self-fund and/or seek funding from the BC for the remaining nights. |
CROP Trip Proposal Template (June 2018)
