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Trip/Event Assessment Form

LINK: NPOC Engagement Event Assessment Proposal 2 DRAFT

1) Describe the Trip/Event in sufficient detail
that an interested reader could understand Who,
What, When, Where, and Why concerning this
funded CROPP activity (please be as expansive
as possible):

Text Data

name	DESCRIPTION

2) Explain the extent to which the Proposed
Goals and Outcomes were accomplished
(see above LINK to review the original Proposal):

Text Data

name	OUTCOMES
width	600px

3) Additional information pertaining 
 to this outreach Trip/Event (optional):

Text Data

name	INFOEVAL
width	600px

4) Date Completed:

Date Data

format	dd-MMM-yyyy
name	COMPLETED

Panel

titleColor	navy
titleBGColor	lightyellow
title	Acknowledgements Section

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

Acknowledgements

Confirmed?

Name

Date

Notes

The Trip/Event Assessment information has been gathered and properly entered into this form.

List Data

name	ACK-1

AYes

BNo

Text Data

name	ACKNAME-1
type	line
content	text

Date Data

format	dd-MMM-yyyy
name	ACKDATE-1

Text Data

name	ACKNOTES-1
width	300px
content	text

The ICANN Organization / Structure's leadership has authorized the submission of this Trip/Event Assessment.

List Data

name	ACK-2

AYes

BNo

Text Data

name	ACKNAME-2
type	line
content	text

Date Data

format	dd-MMM-yyyy
name	ACKDATE-2

Text Data

name	ACKNOTES-2
width	300px
content	text

The ICANN Stakeholder Engagement Vice-President has concurred that this Trip/Event Assessment satisfactorily reports the extent to which the goals/outcomes outlined in the original proposal have been achieved.

List Data

name	ACK-3

AYes

BNo

Text Data

name	ACKNAME-3
type	line
content	text

Date Data

format	dd-MMM-yyyy
name	ACKDATE-3

Text Data

name	ACKNOTES-3
width	300px
content	text

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Trip/Event Assessment Form