Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. Some information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing this proposal.
  4. This form may be edited/saved as many times as needed. When completed, please notify your Program Coordinator (PC) for further processing.

Trip Proposals must be approved within the Organization/Structure and Regional GSE Team at least six (6) weeks before the event start date.
Questions about this program should be directed to: CROP Staff.

Person Completing Form
Name:


 Andrew Mack

Date:


24-Jan-2018

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 


APPROVED

06-Apr-2018

Trip Proposal Section

LINK TO TRIP ASSESSMENT : BC Trip Assessment 2 

1) Number of Travelers:
(Note: Each traveler uses one trip of the total number
allocated to each organization/structure).  

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
 Andrew Mackamack@amglobal.com WashingtonUSA10-Mar-201815-Mar-2018
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:BC Outreach event with Puerto Rico Chamber of Commerce 3-11-18 (and subsequent meetings around ICANN61)
5) Event/Conference Dates:
Start:11-Mar-2018End:15-Mar-2018
6) Event/Conference Website Link:
7) Primary Event/Conference Location:
Street
Address:
 100 Calle Tetuan, San Juan, 00901, Puerto Rico
City: San JuanCountry:Puerto Rico

8) Indicate whether it is a regional trip OR an out-of-region trip.


Regional
9) ICANN Global Stakeholder Engagement Region:North America

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


Puerto Rico Chamber, ICANN (through Chris Mondini's office of outreach), BC

11) Proposed Goals and Outcomes:

Content Guidelines (click here)

Presentation about the work of the BC and ICANN to local business leaders and potential new BC members; presenting information about ICANN and the BC's role in the ICANN ecosystem, benefits of BC membership and opportunities for participation – all as part of new member outreach/recruitment.
12) Additional Information (optional):


_______________________________________________________________ 
Acknowledgements Section

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

AcknowledgementsConfirmed?NameDateNotes
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 Andrew Mack24-Jan-2018Chantelle has discussed with Andrew which nights he would like to apply the 4 days/3 nights of CROP funding towards. He will use CROP funds for the nights of March 10-13. Andrew wants to stay at the same hotel for his entire stay, but notes will he pay for additional nights.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.Yes BC Excomm approved23-Jan-2018 Confirmed by Andrew Mack.
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 C Mondini26-Jan-2018 Chris Mondini
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.YesMaryam Bakoshi26-Jan-2018 CROP approved dates March 10-13
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
  Andrew Mack10-Mar-201813-Mar-2018


Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Program Criteria Satisfied26-Jan-2018
 MB
Constituency Travel Notified26-Jan-2018
MB 

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal26-Jan-2018Trip Assessment14-May-2018


CROP Trip Proposal Template (May 2017)

For questions, comments, suggestions, or technical support concerning this space, please email: CROP Staff
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