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 Schmidt

Date:

24-Jan-2020

STAFF USE ONLY

Application
Status 

APPROVED

TRAVELER DEADLINE

Assessment Due Date

22-Apr-2020

Link to Trip Assessment

FY20 NARALO Trip Assessment 1

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart DateReturn Date

Adrian Schmidt

aschmi@gmail.com

Edmonton

Canada

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

Car to Edmonton Airport. Plane from Edmonton to Quebec Airport Fairmount Queen Elizabeth Hotel (March 29-31)

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

Internet Governance Forum Canada

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

Université du Québec à Montréal C.P. 8888, succ. Centre-ville Montréal (Québec) H3C 3P8 Canada

City:

Quebec

Country:

Canada

7) ICANN Global Stakeholder Engagement Region:

North America

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


CIRA

9) Proposed Goals and Outcomes:

Content Guidelines (click here)


Starting around 2018, I became more involved within NARALO and with ICANN as a whole, participating as a student in the first North America School of Internet Governance (NASIG 1). In 2019, I was a staff member for the second NASIG (Montreal), assisting with the technical details of the program. I also graduated from the ATLAS 3 program in 2019. Participating in this conference will give me more insights into how I can use my unique set of skills and multicultural experience to benefit NARALO and the larger community.

I consider this IGF forum a perfect place to get more people to know about NARALO and get more involvement with the community. Becaus I live in Canada west (Alberta) and this is one of the zones with less involvement on the NARALO community, I also have planned (and have it funding approved for) to have specific presentations in my town (Lacombe, small town between Edmonton and Calgary) to promote NARALO and get more community people involved in our activities that will help with recruiting efforts for our RALO

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

Adrian Schmidt

24-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

Judith Hellerstein

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

Yes

Judith Hellerstein

24-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

Chris Mondini

24-Jan-2020

As per his email. since hie could not edit from his mobile

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

Yes

Maryam Bakoshi

27-Jan-2020


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

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Adrian Schmidt

29-Mar-2020
31-Mar-2020

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes

Program Criteria Satisfied

27-Jan-2020

Maryam Bakoshi

Constituency Travel Notified

27-Jan-2020

Maryam Bakoshi

Travel Booking Initiated with Attendees

05-Feb-2020

Joseph de Jesus


CROP Trip Proposal Template (June 2018)