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:

Cláudio Lucena

Date:

20-Jan-2023

STAFF USE ONLY

Application
Status 

APPROVED

TRAVELER DEADLINE

Assessment Due Date

07-Apr-2023

Link to Trip Assessment

FY23 NCUC Trip Assessment 1

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart DateReturn Date
Cláudio Lucena
Campina Grande
Brazil
10-Mar-2023
13-Mar-2023
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
3) Event/Conference Name, Title, or Descriptor:
ICANN76 Community Forum
4) Event/Conference Dates:
Start:
11-Mar-2023
End:
16-Mar-2023
5) Event/Conference Website Link:
6) Primary Event/Conference Location:
Street
Address:
Blvd. Kukulkán Km. 9, Punta Cancun, Zona Hotelera, 77500
City:
Cancún
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).


9) Proposed Goals and Outcomes:

Content Guidelines (click here)

My name is Cláudio Lucena, I am a Brazilian member of the NCUC, and I have just been appointed as a member of its Executive Committee, representing Latin America and the Caribbean.

I proposed to use the CROP slot to streamline my engagement in the Executive Committee, and with that, my participation and conditions for actively contributing during the period ahead serving the NCUC EC.

Particularly, apart from resuming the outreach and capacity building initiatives to which I am naturally well-connected through my professional network, and my institutional and academic duties, I am ready and willing to contribute in the discussions and possible proposals that concern the current issues of the interplay between ICANN bylaws and national legislation and of the improvements in the multistakeholder model for the future. Those will be debates to which I would already be connected due to my regular professional interests and attributions, and which I will be able to develop further through my position in the EC along the year, starting with a participation in the next meeting, should these slot and funding be confirmed.

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

Cláudio Lucena

20-Jan-2023

_______________________________________________________________
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 FY23 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page.
Yes
Andrea Glandon
20-Jan-2023
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
Yes
Andrea Glandon
20-Jan-2023
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
Ozan Sahin
24-Jan-2023
Per correspondence from Rodrigo De La Parra.
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.
Yes
Ozan Sahin
24-Jan-2023


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

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Cláudio Lucena
10-Mar-2023
13-Mar-2023

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes
Program Criteria Satisfied
26-Jan-2023
Ozan Sahin
Constituency Travel Notified
26-Jan-2023
Ozan Sahin


CROP Trip Proposal Template (June 2018)