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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:

Chantelle Doerksen

Date:

08-Apr-2016

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

APPROVED

25-Jun-2016

ISPC03

Trip Proposal Section

LINK:  ISPC Trip/Event Assessment 3

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

Anthony Harris

anthonyrharris@gmail.com

Buenos Aires

Argentina

31-May-2016

03-Jun-2016

3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)

Tony Harris is requesting an additional one night to be funded by CROPP, May 31st, as the conference begins on June 1st. I will email send this request to the relevant parties for approval.

4) Event/Conference Name, Title, or Descriptor:

ABRINT 8th ISP (National ISP Meeting); Location: O Centro de Convenções Frei Caneca

5) Event/Conference Dates:
Start:

01-Jun-2016

End:

03-Jun-2016

6) Event/Conference Website Link:

http://8isp.abrint.com.br/

7) Primary Event/Conference Location:
Street
Address:

O Centro de Convenções Frei Caneca R. Frei Caneca, 569 - Consolação, São Paulo - SP, 01307-001, Brazil Phone:+55 11 3472-2020

City:

Sao Paolo

Country:

Brazil

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).


 

10) Proposed Goals and Outcomes:

11) Additional Information (optional):

Last year ICANN participated as speakers in a panel with Chris Mondini and Oscar Robles that was very well attended. The event also have an impressive exhibition with all range of vendors, service providers and Brazilian ISP’s showing their latest achievements and solutions.

 

Thinking about the best approach to the Brazilian ISP community, we would like to consult with the ISPCPs about the possibility of identifying the booth (using logos, printed materials and so forth) as an ISPCP ICANN space, instead of a regular ICANN area.

 

Brazilian ISP expert Lacier Dias has been recently selected as fellow for ICANN 56 meeting. Lacier is a early successful entrepreneur in country side ISP and now is dedicated to provide technical consulting services to a large range of small and medium ISP’s all around Brazil. His human network, knowledge and influence is impressive and we are very lucky to count on his attention and time to ICANN, already helping a lot in LAC Strategy projects and ISP interactions.

======================================= 
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 agree to abide by the terms and conditions of this FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page.

Yes

Chantelle Doerksen

08-Apr-2016

Per Tony Holmes (Chairman), Christian Dawson (CROPP POC), and Tony Harris (ISPCP GNSO Councilor)

The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.

Yes

Chantelle Doerksen

08-Apr-2016

Per Tony Holmes and ISPCP Leadership

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

Chantelle Doerksen

08-Apr-2016

Per Rodrigo de la Parra and Daniel Fink's email exchange with the ISPCPs

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

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Anthony Harris

31-May-2016

03-Jun-2016

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes

Constituency Travel Notified

18-Apr-2016

BR

Extra night approved (3 nights and 3 days)

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal 

19-Apr-2016

Trip/Event Assessment

01-Sep-2016


CROPP Trip Proposal Template v4 (Aug 2015)

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