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:

Judith Hellerstein

Date:

20-Feb-2017

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

APPROVED

08-Jun-2017

NA05

Trip Proposal Section

LINK:  NARALO Trip/Event Assessment 5

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

Judith Hellerstein

judith@jhellerstein.com

Washington DC

US

15-May-201718-May-2017
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)

Flights from DCA to MSP and Hotel for 3 nights from May 15-May 18 at the conference location. Transportation needed from airport to hotel. Registration fees also needed. They have an early bird fee for Non Profits if paid for by April 6 of $130. After April 6 this fee goes up to $175. Conference reception is $25.

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

National Digital Inclusion Alliance

5) Event/Conference Dates:
Start:16-May-2017End:17-May-2017
6) Event/Conference Website Link:

https://digitalinclusion.org/netinclusion2017/

7) Primary Event/Conference Location:
Street
Address:

James J. Hill Center----80 West 4th Street, Some sessions are at the Saint Paul Public Library George Latimer Central Library 90 West 4th Street & Saint Paul City Hall 15 Kellogg Blvd. West Conference Hotel is the Intercontinental Saint Paul Riverfront 11 East Kellogg Boulevard, St. Paul, Minnesota, 55101

City:

Saint Paul, MN 55102

Country:

US

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).


Comcast & the Blandin Foundation

10) Proposed Goals and Outcomes:

Content Guidelines (click here)

 

One of the main Focus of NARALO is to reach out to areas of the country where we have no current ALSes and also to reach out and engage with groups who have historically been overlooked by ICANN and to try and engage with them and encourage them to learn about ICANN, NARALO. Our goal here is to increase their understanding and encourage them to get involved and advocate for their interests within ICANN. We also plan on educating them on how their organization can become an ALS, how we can help them amplify their voice and advocate for their members. We have a particular focus on low income, native american and other indigenous groups, and people with disability and specific needs.  This conference focuses on these groups.  A number of the groups we are most interested in engaging with are affiliates of the National Digital Inclusion Alliance and so hope to meet with them and educate them more about NARALO and ICANN.

 

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.

Yes

Judith Hellerstein

20-Feb-2017
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.

Yes

Glenn McKnight

20-Feb-2017
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

Chris Mondini

15-Mar-2017
The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies.

Yes

Janice Douma Lange

21-Mar-2017
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Judith Hellerstein

15-May-201718-May-2017

Airfare
Hotel/Lodging
Per Diem
Registration

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes

Constituency Travel Notified

21-Mar-2017

JDL

They have an early bird fee for Non Profits if paid for by April 6 of $130. After April 6 this fee goes up to $175. Conference reception is $25.

Travel Booking Initiated with Attendees

24-Mar-2017

JDJ

Welcome Email sent

Travel Booking Completed/Confirmed

27-Apr-2017

JDJ

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal23-Mar-2017Trip/Event Assessment29-Aug-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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