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:


Jose Ovidio SALGUEIRO

Date:


05-Sep-2017

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 


NOT APPROVED

07-Nov-2017

Trip Proposal Section

LINK TO TRIP ASSESSMENT:  LACRALO Trip Assessment 3 DRAFT

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
Jose Ovidio SALGUEIROsalgueiro.jo@gmail.comcaracasvenezuela15-Oct-201718-Oct-2017
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
I request airfare and lodging I can`t return to Caracas on a late night flight since it unsafe to go from the airport to the city at that time. I`m willing to to a layover if necesary
4) Event/Conference Name, Title, or Descriptor:Opening the Center of Studies on Internet Governance, San Martin de Porres University. Conference on Law, Internet and Cyberspace
5) Event/Conference Dates:
Start:16-Oct-2017End:16-Oct-2017
6) Event/Conference Website Link:
7) Primary Event/Conference Location:
Street
Address:
Avenida Alameda del Corregidor Nº 1855 Urbanizacion La Ensenada- La Molina
City:LimaCountry:Peru
8) ICANN Global Stakeholder Engagement Region:Latin America and Caribbean

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


Universidad San Martin de Porres

10) Proposed Goals and Outcomes:

Content Guidelines (click here)

Participate with a lecture on the opening of the Center of Internet Governance of Universidad San Martin de Porres

The lecture is about the participation of end users as individual on Internet Governance. ICANN, ALAC and LACRALO. And being a NomCom member myself for 2018 do some outreach activities in order to fin applicants for the positions to be elected on this term 

11) Additional Information (optional):


I have the letter of invitacion from the University authorities and the letter aproving the starting of the Center of Studies on Internet Governance of Universidad San Martin de Porres.


I am willing to send them to the appropiate staff upon request since I can`t find where to attach them to this application

_______________________________________________________________ 
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. No
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.NoBenedetta Rossi08-Sep-2017As per Juan Manuel Rojas, Leon Sanchez and Humberto Harrasco.
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.
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.NoBenedetta Rossi08-Sep-2017Minimum 6-week timing not met; not approved by RALO leadership and PC as per above.
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 


Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal Trip Assessment


CROP Trip Proposal Template (May 2017)

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