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Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:Evan LeibovitchDate:

31-Oct-2014

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Form ID #
APPROVED

07-May-2015

NA04

Trip Proposal Section

1) Number of Travelers:
(Note: Each traveler uses one trip of the five (5) allocated to each organization/structure).  

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
Evan Leibovitchevan@telly.orgTorontoCanada11-Apr-201515-Apr-2015
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:ARIN 35
5) Event/Conference Dates:
Start:12-Apr-2015End:15-Apr-2015
6) Event/Conference Website Link:https://www.arin.net/participate/meetings/index.html
7) Primary Event/Conference Location:
Street
Address:
JW Marriott San Francisco Union Square 515 Mason Street San Francisco California 94102 USA
City:San FranciscoCountry:USA
8) ICANN Geographic Region:North America

9) Activity Sponsors:
(Note: all event sponsors must be identified
in order to comply with ICANN travel guidelines).


American Registry for Internet Numbers

 

10) Purpose and Goals:

1) To further enhance relationship between NARALO and ARIN 2) To engage with ARIN members to identify issues of importance to the At-Large Community 3) To increase awareness of At-Large and NARALO issues within ARIN

11) Proposed Outcomes:Completion of an MoU between NARALO and ARIN New ALS applications from civil society members of ARIN New policy initiatives for NARALO
12) Additional Information (optional):

Community Confirmation Section

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
The participants identified in this application are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (CROPP)-FY15 and agree to abide by its terms and conditions.YesAllan Skuce12-Jan-2015Participant is familiar with the program operations and term&Conditions.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesAllan Skuce12-Jan-2015Executive of NARALO authorizes this proposal and approval of the CROPP RT has been given.
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.YesAllan Skuce12-Jan-2015Approval has been given.
  =======================================================

 


 

Program Administration: STAFF USE ONLY
Program RequirementDate Satisfied/ConfirmedInitialsNotes
Constituency Travel Notified12-Jan-2015JDLJoseph acknowledged and has begun communications
Trip Proposal Approved and
Transferred to Official Forms: 
15-Jan-2015Trip Assessment Approved and
Transferred to Official Forms: 
11-Jun-2015


CROPP Application Template v8 (May 2014)

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