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.
Outreach/Engagement Event Proposals must be approved at least eight (8) weeks before the event start date.
| Person Completing Form | |||
|---|---|---|---|
| Name: | Date Submitted: |
| |
| Event Status | Assessment Due-Date | Form ID # |
| NPOC02E |
Event Proposal Section | |||||||||
|---|---|---|---|---|---|---|---|---|---|
1) Which GNSO Constituency is submitting this request: | |||||||||
| 2) Who will be the principal liaison assigned: |
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| 3) Event title or descriptor: | |||||||||
| 4) Preferred event dates: (Note: Due to the extensive Staff support and logistical planning associated with events, advanced scheduling and reservations may be required to ensure that (a) only one such event occurs at the same time, and (b) there are no overlaps with other scheduled events such as ICANN Public Meetings). |
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| 5) Primary event/conference location: |
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| 6) ICANN Global Stakeholder Engagement Region: | |||||||||
| 7) What does the outreach event entail (please explain in detail): | |||||||||
| 8) Please identify CROPP resource elements you will require, e.g., booth, catering/reception, communications materials, remote participation, etc.: | |||||||||
9) Is travel funding required? If so, please provide name(s), travel dates, reason for traveling (what contribution are they providing, e.g., speaker, organizer, etc.)?
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| 10) Proposed agenda for this event/activity: | |||||||||
11) Proposed Goals and Outcomes for this event: Content Guidelines (click here)
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| 12) Additional Information (optional): | |||||||||
| ================================================================ | |||||||||
Note: The first three elements below are to be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| The Engagement Event goals, dates, and other requirements have been negotiated with applicable ICANN Staff departments and approved as documented above. | ||||
| The ICANN Organization / Structure's leadership has authorized the submission of this Engagement Event Proposal. | ||||
| The ICANN Stakeholder Engagement Vice-President has concurred that the Goals/Outcomes of this Engagement Event Proposal are consistent with operational plans and/or strategies. | ||||
| The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies. | ||||
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
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Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
|---|---|---|---|
| Event Proposal | Trip/Event Assessment | ||
CROPP-FY17 Outreach Engagement Event Template (Jul 2016)
