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:

Adrian Carballo

Date:

16-Jan-2020

STAFF USE ONLY

Application
Status 

CANCELLED

TRAVELER DEADLINE

Assessment Due Date

03-Apr-2020

Link to Trip Assessment

FY20 LACRALO Trip Assessment 2

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart DateReturn Date

Adrian Carballo

ainfodata@gmail.com

Buenos Aires

Argentina

06-Mar-2020
15-Mar-2020
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)

Departure and return dates requested are exceed that is allowed by the CROP, it is becasuse I need to attend several sessions among ICANN 67 meetings and others commitments to complete after the meeting. The days that exceed the CROP covergange will be cover by my own.

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

ICANN 67

4) Event/Conference Dates:
Start:
07-Mar-2020
End:
12-Mar-2020
5) Event/Conference Website Link:
6) Primary Event/Conference Location:
Street
Address:

Cancún International Convention Center MZ-48 L-08 office 2 1.N.Blvd. Kukulcan, Zona Hotelera, 77500 Cancun, Quintana Roo

City:

Cancún

Country:

México

7) ICANN Global Stakeholder Engagement Region:

Latin America and Caribbean

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



9) Proposed Goals and Outcomes:

Content Guidelines (click here)

GOALS: 

I will participate in working sessions in as Director of LACRALO Capacity Working Group.
I will participate in the build of our regional vision for next 5 years.
Support issues on capacity building and the development of the LACRALO 2020-2024 strategic plan to carry out actions to build the vision of LACRALO and increase participation, developing skills of the members of the region

OUTCOMES:

As Director of LACRALO Capacity WG, one of the main results will be the integration and creation of capacity building networks in the region through outreach, webinars and participation activities.

Improve integration and networking with colleagues in the region 
through outreach and commitment activities

Our decisions will strengthen our community and will be built with the inputs of remote participation from attendees.
I will need to foster spaces for interaction between the communities of LACRALO to understand and promote knowledge and participation within the ICANN ecosystem and especially within LACRALO.
Promote the linking of the members of the working group to increase personal skills and promote the research within our ecosystem among other regional members.
I will focus on the development and execution of capacity building strategies to increase the participation in PDP's specifically.


10) Additional Information (optional):


I submit this request to attend the first face-to-face meeting of the expanded LACRALO board, in my capacity as Chair Capacity Building WG.  I assume the extra days that do not include the crop

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

Adrian Carballo

16-Jan-2020

_______________________________________________________________
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

Juan Manuel Rojas

17-Jan-2020
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.

Yes

Sergio Salinas

17-Jan-2020
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

Maryam Bakoshi

on behalf of Rodrigo de le Perra

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

Yes

Maryam BAakoshi

20-Jan-2020


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

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Adrian Carballo

06-Mar-2020
09-Mar-2020

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes

Program Criteria Satisfied

20-Jan-2020

Maryam Bakoshi

self funded from the 9th night

Constituency Travel Notified

21-Jan-2020

Maryam Bakoshi

Travel Booking Initiated with Attendees

23-Jan-2020

Joseph de Jesus


CROP Trip Proposal Template (June 2018)