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: | Leah Symekher | Date: | 22-Aug-2018 |
Application |
NOT APPROVED |
Trip Proposal Section | |||||||||||||
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1) Traveler Contact Information and Itinerary:
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| 2) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | Please book on Delta Airlines. | ||||||||||||
| 3) Event/Conference Name, Title, or Descriptor: | ARIN 42 Vancouver | ||||||||||||
| 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: | North America | ||||||||||||
8) Activity Sponsors: | Sponsorship Sponsorship Page | ||||||||||||
9) Proposed Goals and Outcomes: Content Guidelines (click here) |
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| 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. |
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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 |
|---|---|---|---|---|
| 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 | Leah Symekher | 22-Aug-2018 | |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Glenn McKnight | 22-Aug-2018 | |
| 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 | 22-Aug-2018 | |
| The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | No | This trip proposal does not comply with the following CROP Guideline: All trip requests must be submitted for the requisite concurrence by the relevant regional GSE Vice-President as well as approval by the traveler's community group (in accordance with any criteria it may have developed for the program) no less than five (5) working days before the first day of the 6-week travel deadline. | ||
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
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Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Staff Name | Notes |
CROP Trip Proposal Template (June 2018)
