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:


Chantelle Doerksen

Date:


26-Mar-2018

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 


APPROVED

02-Jun-2018

Trip Proposal Section

LINK TO TRIP ASSESSMENT : NCUC Trip Assessment 5 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
Elizabeth (Liz) Orembolizorembo@gmail.comNairobiKenya05-May-201808-May-2018
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Renata confirmed Liz's travel dates (5-8 May are the dates taken from Liz's email) AIS will be held from 29th April to 11th May with AFNOG. But considering the maximum funding days, Liz plans to attend the last week of policy sessions, which she states is 8th-11th May.
4) Event/Conference Name, Title, or Descriptor:African Internet Summit (AIS)
5) Event/Conference Dates:
Start:29-Apr-2018End:11-May-2018
6) Event/Conference Website Link:https://www.internetsummit.africa/
7) Primary Event/Conference Location:
Street
Address:
City:DakarCountry:Senegal

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


Regional
9) ICANN Global Stakeholder Engagement Region:Africa

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


ICANN; Autorité de Régulation des Télécommunications et des Postes; Ministry of Communication, Telecommunications, Posts and Digital Economy of Senegal; AFRNIC; AfNOG

11) Proposed Goals and Outcomes:

Content Guidelines (click here)

1) Presentation of a session collaboratively built by NCUC members and submitted during the period of the event call for proposals. There will also be informal meetings addressing presentation of the Constituency with key stakeholders. GSE has been in conversations to include member in ICANN presentations.

2) During last year's AIS, Liz volunteered to conduct regional NCUC outreach by coordinating their role at the information desk. She mobilized the ICANNWiki trainees, whom she mentored and trained to help with the outreach desk.

 For this year, she plans to work with ICANN’s regional engagement teams on ICANN 
sessions, and her main focus will be on promoting the NCUC and its role at ICANN.

3) NCUC plans to recruit an even more diverse membership from the region and prepare members to understand engagement in ICANN within context, investing also in inreach training of members at the event.

4) Relationship with regional strategies and outreach plans is certifiable by conversations with GSE and planning efforts for outreach in the region along with other Africa leadership.

5) NCUC has recently initiated a Policy Course which has brought new materials into internet policy discussions and this will be one of many themes which will be shared in the event.

 


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. YesChantelle Doerksen26-Mar-2018On behalf of Renata. Liz travel dates are confirmed as follows: Departure:5 May 2018 Return: 8 May 2018 CROP Nights funded: 5, 6, 7 CROP Days funded: 5, 6, 7, 8
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesChantelle Doerksen26-Mar-2018On behalf of Renata
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.YesBenedetta Rossi27-Mar-2018As per Pierre Dandjinou - who asked to advance dates to participate in ICANN day
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.YesBenedetta Rossi28-Mar-2018
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Elizabeth (Liz) Orembo05-May-201808-May-2018


Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Program Criteria Satisfied28-Mar-2018
BR
Constituency Travel Notified28-Mar-2018
BR
Travel Booking Initiated with Attendees28-Mar-2018
JDJ
Welcome email sent
Travel Booking Completed/Confirmed10-Apr-2018
JDJ

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal28-Mar-2018Trip 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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