CCWG-Accountability-WS2 Supported Travel Request Form You are eligible for travel support from the CCWG-Accountability only if you are an officially appointed member of WS2 from a chartering SO or AC or if you are an officially listed Rapporteur for a WS2 sub-group. The CCWG Co-Chairs will review the applications received, including the requests for partial support, and determine the list of approved CCWG members who will receive travel funding. The CCWG approved travel support list will be submitted to ICANN Constituency Travel for processing according to community travel guidelines Travel support arrangements will follow Constituency travel guidelines located at: https://community.icann.org/display/trvlconstit/Constituency+Travel+Home CCWG appointed Members or rapporteurs requesting consideration by the Co-Chairs for travel support to attend a face-to-face meeting must complete and submit the travel request form by the stipulated deadline in order to be considered for funding. Applicant Identification ======================== Name: Chartering Org or Rapporteur for which WS2 Group: Email address: Date of Request: Other sources of support ======================== Please indicate if you are receiving travel support from another organization to attend the ICANN meeting I am receiving support from another organization (yes or no): If you are not receiving support from another organization, please proceed to “Support requested from CCWG-Accountability”. If you are receiving support, please provide the information requested below: Name of the Organization(s) providing the support: Indicate type of support and how many days the support is provided (BY FUNDING ORGANIZATION): Airfare (yes or no): Hotel (# days): Per Diem (# days): Support requested from CCWG-Accountability =========================================== Please indicate the type of travel support (including the number of days) you are seeking from the CCWG for WS2 – please remember this is only for attending the Face to Face meeting and is not for the entire ICANN meeting. Airfare (yes or no): Hotel (# days): Per Diem (# days):