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 | |||
|---|---|---|---|
| Name: | BAUDOUIN SCHOMBE | Date: | 16-May-2016 |
| Application Status | Assessment Due-Date | Form ID # |
01-Dec-2016 |
|
Trip Proposal Section | LINK: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1) Number of Travelers: | |||||||||||||
2) Traveler Contact Information and Itinerary:
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| 3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | for participating at IGF 2016 | ||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | Internet Governance Forum "The IGF facilitates a common understanding of how to maximize Internet opportunities and address risks and challenges that arise. The IGF is also a space that gives developing countries the same opportunity as wealthier nations to engage in the debate on Internet governance and to facilitate their participation in existing institutions and arrangements. Ultimately, the involvement of all stakeholders, from developed as well as developing countries, is necessary for the future development of the Internet." | ||||||||||||
| 5) Event/Conference Dates: |
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| 6) Event/Conference Website Link: | |||||||||||||
| 7) Primary Event/Conference Location: |
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| 8) ICANN Geographic Region: | Latin America and Caribbean | ||||||||||||
9) Activity Sponsors: | |||||||||||||
10) Proposed Goals and Outcomes: | -To Improve the experience in multiple stakeholder approach; - To Link partnerships; - To Identify mutual axes for capacity building. | ||||||||||||
| 11) 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 agree to abide by the terms and conditions of this FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page. | ||||
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | ||||
| 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. | ||||
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
|
Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
|---|---|---|---|
| Trip Proposal | Trip/Event Assessment | ||
CROPP Trip Proposal Template v4 (Aug 2015)
