Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. This Trip Assessment form will be automatically associated with its related Trip Proposal; therefore, no duplicate traveler identification information is required.
  4. The information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing the event.
  5. This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.
STAFF USE ONLY
Assessment
Status 
Form ID#
PENDING

SAMPLE

Trip Assessments should be completed within three (3) weeks of the traveler's return date.

Trip Assessment Form

1) Describe how the original Purpose and Goals were accomplished:

Description of how original purpose and goals were achieved...

2) Describe how the original Outcomes were achieved:

 

Description of how originally proposed outcomes were realized...
3) Date Completed:16-Oct-2014
4) Additional information pertaining to this outreach event (optional):
Community Confirmation Section

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

AcknowledgementsConfirmed?NameDateNotes
The Trip Assessment information has been gathered and properly entered into this form.YesPPC Name18-Oct-2014
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Assessment.NoPPC Name18-Oct-2014Still in the process of internal review...
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CROPP Trip Assessment Template v1 (May 2014)

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