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:Glenn McKnightDate:

25-Nov-2015

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

05-Aug-2016

NA02

Trip Proposal Section

LINK: NARALO Trip/Event Assessment 2 DRAFT

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
Glenn McKnightmcknight.glenn@gmail.comTorontoCanada13-Jul-201614-Jul-2016
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
PLEASE CANCEL
4) Event/Conference Name, Title, or Descriptor:IGF USA
5) Event/Conference Dates:
Start:13-Jul-2016End:14-Jul-2016
6) Event/Conference Website Link:http://igf-usa.us/
7) Primary Event/Conference Location:
Street
Address:
George Washington University 2121 Eye Street, Nw
City:WashingtonCountry:USA
8) ICANN Geographic Region:North America

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


21st Centruy Fox

Affilias

ARIN

AT &T

Comcast

Facebook

ICANN

INTEL

10) Proposed Goals and Outcomes:

To raise the awareness with the iGF community of ICANN Recruit new ALS's
11) Additional Information (optional):

Please  remove

======================================= 
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. YesGlenn McKnight25-Nov-2015Contacted organizers on the final dates
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.
  =======================================================

 

Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Trip Proposal Confirmed and
Transferred to Approved Forms: 
Trip/Event Assessment Confirmed and
Transferred to Approved Forms: 


CROPP Trip Proposal Template v4 (Aug 2015)

For comments, suggestions, or technical support concerning this space, please email: CROPP Program Staff
© 2015 Internet Corporation For Assigned Names and Numbers