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Panel
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titleAcknowledgements 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.


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AYes

 


BNo

 




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nameACKNAME1
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The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.


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nameACK2


AYes

 


BNo

 




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nameACKDATE2
 



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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.


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nameACK3


AYes

 


BNo

 




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nameACKNAME3
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formatdd-MMM-yyyy
nameACKDATE3
 



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The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.


List Data
nameACK4


AYes

 


BNo

 




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nameACKNAME4
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Date Data
formatdd-MMM-yyyy
nameACKDATE4
 



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  =======================================================


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titleProgram Administration: STAFF USE ONLY

Approved Travel Elements:

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nameTRAVELAPPROVAL
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TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 


ATRAVELERlinetextBLOCK

 



dd-MMM-yyyyADEPARTBLOCK



dd-MMM-yyyyARETURNBLOCK



trueFUNDEDchecknewlineINLINE


AAirfare

 


BHotel/Lodging

 


CPer Diem

 


DVisa

 


ERegistration

 




Staff Department Notifications:

Table Data
nameREQUIREMENTS
initialRows1


Program RequirementDate Satisfied/ConfirmedInitialsNotes


RQMTBLOCK


ASpeakers Bureau

 


BCommunications Department

 


CMeetings Team

 


DConstituency Travel Notified

 


ETravel Booking Initiated with Attendees 


FTravel Booking Completed/Confirmed 


GProgram Criteria Satisfied 


HOther Disposition 




dd-MMM-yyyySATISFIEDBLOCK



INITIALS50pxBLOCK

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B

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MW

 


CBR

 


EJDJ

 


FAL

 


GOS

 




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Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal


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formatdd-MMM-yyyy
namePPOSTED
 


Trip Assessment


Date Data
formatdd-MMM-yyyy
nameAPOSTED
 




CROP Trip Proposal Template (May 2017)