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. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. Some information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing this proposal.
  4. This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.

Trip Proposals must be approved within the Organization/Structure and Regional GSE Team at least six (6) weeks before the event start date.
Questions about this program should be directed to: CROPP Staff.

Person Completing Form
Name:

Leah Symekher

Date:

15-Aug-2016

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

COMPLETE

12-Nov-2016

NA04

Trip Proposal Section

LINK:  NARALO Trip/Event Assessment 4

1) Number of Travelers:
(Note: Each traveler uses one trip of the total number
allocated to each organization/structure).  

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City		From
Country		Depart
Date		Return
Date
Leah SymekherLeahs@isc.orgSan FranciscoUS19-Oct-201622-Oct-2016
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)		none
4) Event/Conference Name, Title, or Descriptor:ARIN Conference
5) Event/Conference Dates:
Start:20-Oct-2016End:21-Oct-2016
6) Event/Conference Website Link:http://www.cvent.com/events/arin-38-public-policy-and-members-meeting/event-summary-256b30d336654228bc33dfb2dd640037.aspx
7) Primary Event/Conference Location:
Street
Address:		Fairmont Dallas 1717 N. Akard Street Dallas, Texas 75201 USA
City:DallasCountry:USA
8) ICANN Global Stakeholder Engagement Region:North America

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


Google is the only ARIN 38 event sponsor at the time of this application.

10) Proposed Goals and Outcomes:

Content Guidelines (click here)

 

Proposed Goals and Outcomes:

In accordance with the current NARALO Outreach Strategy Plan and the MoU in place between NARALO and ARIN, attending the ARIN conference will meet the following goals and provide the following opportunities:

  • Increased engagement to enable more collaboration between the 2 organizations for effective community outreach in the region
  • Active participation and understanding of ARIN’s policy making process and reporting back to the regional community to facilitate information sharing, community involvement and education
  • Promote NARALO’s values and the ICANN ecosystem

The outcome will include:

  • An event report to NARALO and follow up
  • Strategic plans for collaboration in events and training in the region
  • More educated on ARIN’s policy development process and community involvement

 

11) Additional Information (optional):

=============================================================== 
Acknowledgements Section

Note: The first three elements below should 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 FY17 Community Regional Outreach Pilot Program (CROPP) as outlined on the CROPP Procedures & Guidelines page. YesJudith Hellerstein15-Aug-2016August 15, 2016
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesGlenn McKnight01-Aug-2016
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.YesJudith Hellerstein17-Aug-2106As per email from Chris Mondini on August 18, 2016 to Judith Hellerstein & Glenn McKnight
The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies.YesJanice Douma Lange18-Aug-2016
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date		Approved
Departure Date		Approved Fees 
Leah Symekher19-Oct-201622-Oct-2016

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Constituency Travel Notified18-Aug-2016JDLhttp://www.cvent.com/events/arin-38-public-policy-and-members-meeting/event-summary-256b30d336654228bc33dfb2dd640037.aspx
Travel Booking Initiated with Attendees16-Sep-2016 Welcome Email Sent
Travel Booking Completed/Confirmed30-Sep-2016JDJ

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal18-Aug-2016Trip/Event Assessment09-Jan-2017


CROPP-FY17 Trip Proposal Template (Jul 2016)

For questions, comments, suggestions, or technical support concerning this space, please email: CROPP Program Staff
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