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:Arce José FranciscoDate:

08-May-2015

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WITHDRAWN

16-Jun-2015

LAC09

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
Arce José FranciscoJosefranciscoarce@gmail.comCórdoba Argentina 21-Jun-201525-Jun-2015
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:ICANN 53
5) Event/Conference Dates:
Start:21-Jun-2015End:25-May-2015
6) Event/Conference Website Link:https://buenosaires53.icann.org/en/
7) Primary Event/Conference Location:
Street
Address:
Sheraton Hotel Buenos Aires San Martin 1225
City:CórdobaCountry:Argentina
8) ICANN Geographic Region:Latin America and Caribbean

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


CROPP Program

10) Purpose and Goals:

1.- Be volunteerto at the ICANN’s Newcomer’s booth 2.- Join a minimum of one At-Large Working Group (WG) 3.- Be mentor for less engaged LACRALO members present at the meeting 4.- Explore opportunities in all At-large activities to increase the participating in our Region 5.- Collaborate with all activities in the region, such as LACRALO showcase, and any activity that Chair or Secretary needs. 6.- Collaborate with activities related to ICANN's strategy in the region 7.- Collaborate assembling documents to be presented at meetings on different issues. 8.- And any other that may arise from the region´s needs

11) Proposed Outcomes:Trip report
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.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.
  =======================================================

 


 

Program Administration: STAFF USE ONLY
Program RequirementDate Satisfied/ConfirmedInitialsNotes
Trip Proposal Approved and
Transferred to Official Forms: 
Trip Assessment Approved and
Transferred to Official Forms: 


CROPP Application Template v8 (May 2014)

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