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:

Humberto Rolando Carrasco Blanc

Date:

22-Mar-2019

STAFF USE ONLY

Application
Status 

APPROVED

TRAVELER DEADLINE

Assessment Due Date

08-Jun-2019

Link to Trip Assessment

LACRALO Trip Assessment 2

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart DateReturn Date
Humberto Rolando Carrasco Blanc
hcarrascob@gmail.com
La Serena
Chile
13-May-2019
17-May-2019
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
3) Event/Conference Name, Title, or Descriptor:
South School on Internet Governance 2019
4) Event/Conference Dates:
Start:
13-May-2019
End:
17-May-2019
5) Event/Conference Website Link:
6) Primary Event/Conference Location:
Street
Address:
Secretary of Economy of Mexico City, Zamora 197, Colonia Condesa, Mexico City
City:
México City
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).


Organizers: CCTALAT -  ASSOCIATION OF INTERNET.MX - SOUTHERN SCHOOL ON INTERNET GOVERNMENT

Sponsors: AT & T, CIRA, GOOGLE, GSMA, ENACOM, ICANN, INTERNET SOCIETY, NGO, ORG, SIDN, UNITED NATIONS, VERISIGN, AFILIAS, AMAZON and ARIN.

9) Proposed Goals and Outcomes:

Content Guidelines (click here)


The goal is to participate in this event as Speaker. It seeks to explain to the audience the different ways of participating in ICANN and LACRALO. Also, to show some examples of representing the interest of end users. Furthermore, from the point of view of recruitment, this trip looks for involving new ALSs from México because there is only one Mexican ALS in LACRALO. A tentative title of my presentation would be "Legal aid for domain name holders in Latin-American and the Caribbean”
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

Humberto Rolando carrasco Blanc

22-Mar-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
Juan Manuel Rojas
26-Mar-2019
This trip proposal was filled days before but there was no Strategy uploaded on its respective place.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
Yes
Silvia Vivanco
27-Mar-2019
Entered by O.S.
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
Rodrigo de la Parra
28-Mar-2019
Entered by O.S.
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.
Yes
Ozan Sahin
29-Mar-2019
CROP will cover only 3 nights/4 days of the requested days.


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

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Humberto Rolando Carrasco Blanc
13-May-2019
16-May-2019

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes
Program Criteria Satisfied
29-Mar-2019
Ozan Sahin
CROP will cover only 3 nights/4 days (13 May to 16 May) as per guidelines. Additional night will be under the responsibility of the traveler.
Constituency Travel Notified
29-Mar-2019
Ozan Sahin
Travel Booking Initiated with Attendees
01-Apr-2019
Joseph de Jesus


CROP Trip Proposal Template (June 2018)