Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates. Other than the two required fields immediately below, you may complete any portion of this form, save, and return later to continue where you left off.
Trip Proposals must be completed at least six (6) weeks before the event start date.
| Person Completing Form: | Sergio Walter Salinas Porto | Date: | 08-May-2015 |
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| Application Status | Assessment Due-Date | Form ID # |
| APPROVED | 16-Jun-2015 | LAC03 |
Trip Proposal Section | |||||||||||||
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1) Number of Travelers: | 1 | ||||||||||||
2) Traveler Contact Information and Itinerary:
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| 3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | With CROPP travel support only available up to the day of the 24, the traveller is aware that he will be paying for the night 24 and day of the 25 | ||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | ICANN 53 Buenos Aires | ||||||||||||
| 5) Event/Conference Dates: |
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| 6) Event/Conference Website Link: | http://buenosaires53.icann.org/en/ | ||||||||||||
| 7) Primary Event/Conference Location: |
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| 8) ICANN Geographic Region: | Latin America and Caribbean | ||||||||||||
9) Activity Sponsors: | CROPP | ||||||||||||
10) Purpose and Goals: | Learn more about current ICANN an RALO activities in order to perform better outreach in my country through my ALS´s activities, and participate in At-Large sessions. I will also participate in LACRALO activities, including the LACRALO meeting and showcase. I am chair of two LACRALO WGs (Governance and ccTLD) and outcomes from these WGs will be discussed at the LACRALO meeting and to guide . future work in these WGs | ||||||||||||
| 11) Proposed Outcomes: | Travel Inform | ||||||||||||
| 12) Additional Information (optional): | |||||||||||||
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| 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. | Yes | Dev Anand Teelucksingh | 18-May-2015 | |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Dev Anand Teelucksingh | 18-May-2015 | |
| The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies. | Yes | Dev Anand Teelucksingh | 18-May-2015 | |
| =============== | ========== | ============================== |
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Constituency Travel Notified | 18-May-2015 | JDL | CHECK WITH TRAVELER ON ADDT'L NIGHTS - NOT COVERED BY CROPP |
| Trip Proposal Approved and Transferred to Official Forms: | 19-May-2015 | Trip Assessment Approved and Transferred to Official Forms: | 08-Oct-2015 |
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CROPP Application Template v8 (May 2014)
