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Info

Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates. Other than the two required fields immediately below, you may complete any portion of this form, save, and return later to continue where you left off.

Note

Outreach/Engagement Event Proposals must be completed at least eight (8) weeks before the event start date.

Person Completing Form:
Text Data
namePERSON
typeline
contenttext
requiredtrue

 

Date Submitted:

Date Data
nameAPPDATE
formatdd-MMM-yyyy
 

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titleSTAFF USE ONLY
Event
Status 
Assessment
Due-Date 
Form ID #
Text Data
nameSTATUS
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Report Info
data:END > shift + 22d
data:END > shift + 22d
formatdd-MMM-yyyy

 

Event Proposal Section

1) Which GNSO structure is submitting this request:

List Data
nameGNSOC
BCA

 

IPCB

 

ISPCC

 

NCUCD

 

NPOCE

 

2) Who will be the principal liaison assigned
to work with Communications:
Name:
Text Data
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nameLIAISON
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contenttext

 

Email:
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nameL-EMAIL
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contenttext

 

 

 

3) Event Title or Descriptor:
Text Data
nameEVENT
contenttext

 

4) Preferred Event Dates:
(Note: Due to the extensive Staff support and logistical planning associated with events, advanced scheduling and reservations may be required to ensure that (a) only one such event occurs at the same time, and (b) there are no overlaps with other scheduled events such as ICANN Public Meetings).
Start:
Date Data
nameSTART
formatdd-MMM-yyyy
 
End:
Date Data
nameEND
formatdd-MMM-yyyy
 
5) Primary Event/Conference Location:
Street
Address:
Text Data
nameADDRESS
contenttext

 

City:
Text Data
nameCITY
typeline
contenttext

 

Country:
Text Data
nameCOUNTRY
typeline
contenttext

 

6) ICANN Geographic Region:
List Data
nameREGION
AfricaA

 

AsiaB

 

Australasia/Pacific IslandsC

 

EuropeD

 

Latin America and CaribbeanE

 

Middle EastF

 

North AmericaG

 

Russia/CIS/Eastern EuropeH

 

7) Proposed Goals and Outcomes for this Event:
(Note: Please address linkages to the Outreach Strategic Plan). 

Text Data
nameGOALS
contenttext

 

 

 

8) Additional Information (optional):

Text Data
nameADDTLINFO
 

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