Instructions:
1. You must be logged in to the Community Wiki with a valid Username and Password in order to complete forms within CROP.
2. Your organization must first complete and get approval for the Outreach Strategic Plan before any CROP trip could be processed.
3. There are two CROP forms required for each Trip: a) a Trip Proposal; b) a Trip Assessment (must be complete within three (3) weeks of all travelers having returned from the event, no later than the assessment due date which is automatically calculated based on the trip return date).
4. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
5. To fill out the the form, click (top of the screen)
6. Answer each of the questions that appears within the form. Use the scroll bar (right) to reveal all contents. Click here to read the full instructions
IMPORTANT: This form must be completed by the traveler him/herself.
Person Completing Form | |||
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Name: | Mahmoud Lattouf | Date: | 02-May-2019 |
Application |
APPROVED |
Trip Proposal Section | |||||||||
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2) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | CROP to fund nights of 23, 24, and 25. Mahmoud to self-fund nights of 26, 27 and will coordinate with ICANN Constituency Travel. | ||||||||
3) Event/Conference Name, Title, or Descriptor: | ICANN65 | ||||||||
4) Event/Conference Dates: |
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5) Event/Conference Website Link: | |||||||||
6) Primary Event/Conference Location: |
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7) ICANN Global Stakeholder Engagement Region: | Africa | ||||||||
8) Activity Sponsors: | ICANN ICANN Business Constituency | ||||||||
9) Proposed Goals and Outcomes: Content Guidelines (click here) | Attending ICANN65 to engage with existing and new businesses to encourage engagement with ICANN, especially the BC . Engagement with the broader community by supporting the Engagement/Outreach Booth ; participating in Fellowship events to position the BC’s commitments to ICANN; reach new prospective participants in ICANN. conference, interacting with participants interested in the BC. Manage the distribution of BC factsheets/newsletter, and ICANN relevant materials. Collect business cards/sign up for BC Outreach Committee follow-up on site and post ICANN65. Distribute BC materials at the CSG joint Board discussion; to GAC members, and at the ICANN Engagement booth. Proposed Outreach Outcome and Goals :
Businesses will better understand why ICANN matters to business users, and how the BC can help them be effective in ICANN activities and policy development
4. Enhancing and building diversity of membership to include more engagement of business/their associations from the continent/MENA states will enhance diversity of the BC. | ||||||||
10) Additional Information (optional): |
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11) Consent & Authorization: By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service. If you agree to text above, please fill out your name and date in the box on the right. |
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Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.
Acknowledgements | Confirmed? | Who Confirmed? | Date of Confirmation | Notes |
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The participants identified in this application agree to abide by the terms and conditions of this FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page. | Yes | Mahmoud Lattouf | 05-May-2019 | Mahmoud knows that all additional dates are to be self-funded. |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | BC Excomm | 06-May-2019 | |
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 | Pieere Danjinou | 07-May-2019 | |
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | Yes | Maryam Bakoshi | 07-May-2019 | CROP to fund nights of 23, 24, and 25. Mahmoud to self-fund nights of 26, 27 and needs to coordinate with ICANN Constituency Travel. |
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Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Mahmoud Lattouf | 23-Jun-2019 | 26-Jun-2019 | Airfare |
Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Staff Name | Notes |
Program Criteria Satisfied | 07-May-2019 | Maryam Bakoshi | |
Constituency Travel Notified | 07-May-2019 | Maryam Bakoshi | |
Travel Booking Initiated with Attendees | 06-May-2019 | Joseph de Jesus | New Traveler. Need to complete information via https://travelrequestform.icann.org/. |
CROP Trip Proposal Template (June 2018)