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
Name:

Matthias M. Hudobnik

Date:

25-Sep-2019

STAFF USE ONLY

Application
Status 

APPROVED

TRAVELER DEADLINE

Assessment Due Date

21-Dec-2019

Link to Trip Assessment

FY20 EURALO Trip Assessment 1

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart DateReturn Date

Matthias M. Hudobnik

matthias@hudobnik.at

Graz

Austria

24-Nov-2019
01-Dec-2019
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)

This trip is part of a wider coordinated plan by At-Large participants to IGF from several RALOS. The traveller is aware of this coordination and looks forward to work in collaboration with other ALAC/RALO participants to the IGF to support the At-Large outreach mission at this important annual event.

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

UN Internet Governance Forum (IGF), Berlin 2019, Germany. A platform for multistakeholder dialogue on digital policy issues.

4) Event/Conference Dates:
Start:
25-Nov-2019
End:
29-Nov-2019
5) Event/Conference Website Link:
6) Primary Event/Conference Location:
Street
Address:

Estrel Congress Center Sonnenallee 225 12057 Berlin Germany

City:

Berlin

Country:

Germany

7) ICANN Global Stakeholder Engagement Region:

Europe

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


United Nations: http://www.un.org

Federal Ministry for Economic Affairs and Energy: https://www.bmwi.de/Navigation/EN

9) Proposed Goals and Outcomes:

Content Guidelines (click here)

  1. Represent At-Large community, particularly EURALO at the IGF. This will include presence at the booth that EURALO/At-Large are sharing with ICANN.
  2. Actively distribute EURALO and At-Large outreach material throughout the IGF venue by targeting specific groups
  3. Meet with current EURALO ALS representatives attending IGF in person in order to get to know them better (networking)
  4. To actively coordinate any informal meeting of European Stakeholders, in coordination with the Regional VPs for Global Stakeholder Engagement
  5. Assist the At-Large and/or EURALO performing outreach activities both for individual and ALS member applications
  6. Attempt to organize a speaking slot at IGF for EURALO where EURALO Engagement in ICANN activities will be presented to gain the attention of various experts in the ICANN multistakeholder development processes.
10) Additional Information (optional):

 

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.


NameDate

Matthias M. Hudobnik

25-Sep-2019

_______________________________________________________________
Acknowledgements Section

Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.

AcknowledgementsConfirmed?Who Confirmed?Date of ConfirmationNotes
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

Olivier Crépin-Leblond

25-Sep-2019
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.

Yes

Olivier Crépin-Leblond

25-Sep-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

Sally Costerton

02-Oct-2019

Concurred by Sally Costerton 02 Oct 2019

The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.

Yes

Maryam Bakoshi

02-Oct-2019

Concur - Christopher Mondini



=======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Matthias M. Hudobnik

24-Nov-2019
27-Nov-2019

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes

Program Criteria Satisfied

02-Oct-2019

Maryam Bakoshi

Constituency Travel Notified

02-Oct-2019

Maryam Bakoshi


CROP Trip Proposal Template (June 2018)