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:

Obed Sindy

Date:

15-Jan-2020

STAFF USE ONLY

Application
Status 

CANCELLED

TRAVELER DEADLINE

Assessment Due Date

03-Apr-2020

Link to Trip Assessment

FY20 NPOC Trip Assessment 1

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City		From
Country		Depart DateReturn Date
Obed Sindy
zobed25@gmail.com
Port-au-Prince
Haiti
06-Mar-2020
09-Mar-2020
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
As I am president of ISOC Haiti, Communication Consultant of Transversal, Member of Just Net Coalition, member of Keep It On Campaign, Master Candidate in Political Science with option: Public Communication, Co-founder of Digital Grassroots, new member of At Large Structure and member of NPOC ICANN, I’ve been selected several times to participate in ICANN but visa issues keep getting to the end. Now I have a Canadian visa which will undoubtedly be able to favor my entry to Mexico for this meeting so although alternate, I believe that it will be a great opportunity to activate me in the activities of ICANN in my country and help me to better understand NPOC subjects so that I can make myself available for calls to volunteers and reconnect with the community. One of my big challenge is to meet physically with members of the ICANN community and identify political ideas to take over in LAC region. The power of networking could connect and create great things promoting a better future for the internet.
3) Event/Conference Name, Title, or Descriptor:
ICANN 67
4) Event/Conference Dates:
Start:
07-Mar-2020
End:
12-Mar-2020
5) Event/Conference Website Link:

https://meetings.icann.org/en/cancun67


6) Primary Event/Conference Location:
Street
Address:
Cancun International Convention Center, Blvd. Kukulcan 9, Zona Hotelera, 77500 Cancún, Q.R., Mexique
City:
Cancun
Country:
Mexico
7) ICANN Global Stakeholder Engagement Region:
Latin America and Caribbean

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


Secretariat of Communications and Transportation of Mexico, NIC México, the Mexican Internet Industry Association, the Internet Society Chapter Mexico, Punto 2012, and Neubox.

9) Proposed Goals and Outcomes:

Content Guidelines (click here)

Engagement/Outreach including broadening awareness of ICANN in Haiti with webinars about fellowships, ICANN Mission to engage youth in ICANN governance in Haiti Chapter and the National and regional community.

I will be able to play the role of session facilitator and even prepare a French version of the sessions attended. i prepare myself with good icann skills
become involved in ICANN stakeholder communities, working groups, and/or fellowship programs and collaborate to the Outreach Strategic Plans and/or ICANN Regional Strategies.

I can create special program in  Haiti to extend learnings in the stakeholder communities in this country.


10) Additional Information (optional):

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.


NameDate

Obed Sindy

15-Jan-2020

_______________________________________________________________
Acknowledgements Section

Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.

AcknowledgementsConfirmed?Who Confirmed?Date of ConfirmationNotes
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
Ioana Stupariu
17-Jan-2020
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
Yes
Ioana Stupariu
17-Jan-2020
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.
Yes
RODRIGO de la PARRA
21-Jan-2020
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.
Yes
Maryam Bakoshi
17-Jan-2020


=======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date		Approved
Departure Date		Approved Fees 
Obed Sindy
06-Mar-2020
09-Mar-2020

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes
Program Criteria Satisfied
17-Jan-2020
M Bakoshi
Constituency Travel Notified
21-Jan-2020
M BAKOSHI
Travel Booking Initiated with Attendees
23-Jan-2020
Joseph de Jesus


CROP Trip Proposal Template (June 2018)