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SOAC/E Archive:

> CROPP-FY16
> CROPP-FY15
> CROPP-FY14
> Outreach & Engagement: FY14

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Old Version 12

changes.mady.by.user Ken Bour

Saved on May 26, 2015

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New Version Current

changes.mady.by.user Ken Bour

Saved on Sep 15, 2015

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spacePermission	admin
match	all

CSS Stylesheet
#editPageLink {display: none !important;}

Section

Column

width	55%

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
Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:

Text Data

name	PERSON
type	line
content	text
required	true

Date:

Date Data

name	APPDATE
format	dd-MMM-yyyy
required	true

now

Column

width	45%

Panel

bgColor	white
titleColor	maroon
titleBGColor	lightcyan
title	STAFF USE ONLY

Application
Status 

Assessment
Due-Date 

Form ID #

Text Data

name	STATUS
type	line

Report Info

	data:END > shift + 22d
	data:END > shift + 22d
format	dd-MMM-yyyy

Status

colour	Blue
title	NCUC05

Trip Proposal Section

1) Number of Travelers:
(Note: Each traveler uses one trip of the five (5) allocated to each organization/structure).

Number Data

minValue	1
maxValue	5
width	100px
name	TRIPS
format	###

2) Traveler Contact Information and Itinerary:

Table Data

name	CONTACTINFO
initialRows	1

Traveler	Email	From City	From Country	Depart Date	Return Date
textTRAVELER1BLOCKline	T-EMAILBLOCKline	textFROM1BLOCKline	textFROM2BLOCKline	DEPARTdd-MMM-yyyyBLOCK	RETURNdd-MMM-yyyyBLOCK

3) Special Travel Circumstances, Arrangements,
Explanations, or Notations:
(Please identify each traveler, as applicable)

Text Data

width	650px
name	SPECIAL
content	text

4) Event/Conference Name, Title, or Descriptor:

Text Data

name	EVENT
content	text

5) Event/Conference Dates:

Start:

Date Data

name	START
format	dd-MMM-yyyy

End:

Date Data

name	END
format	dd-MMM-yyyy

6) Event/Conference Website Link:

Text Data

name	LINK

7) Primary Event/Conference Location:

Street
Address:

Text Data

name	ADDRESS
content	text

City:

Text Data

name	CITY
type	line
content	text

Country:

Text Data

name	COUNTRY
type	line
content	text

8) ICANN Geographic Region:

List Data

name	REGION

AfricaA

AsiaB

Australasia/Pacific IslandsC

EuropeD

Latin America and CaribbeanE

Middle EastF

North AmericaG

Russia/CIS/Eastern EuropeH

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

Text Data

name	SPONSORS

10) Purpose and Goals:

Text Data

name	PURPOSE
content	text

11) Proposed Outcomes:

Text Data

name	OUTCOMES
content	text

12) Additional Information (optional):

Text Data

name	ADDTLINFO

Panel

titleColor	navy
titleBGColor	lightyellow
title	Community Confirmation Section

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

Acknowledgements

Confirmed?

Name

Date

Notes

The participants identified in this application are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (CROPP)-FY15 and agree to abide by its terms and conditions.

List Data

name	ACK-1

YesA

NoB

Text Data

name	ACKNAME-1
type	line
content	text

Date Data

name	ACKDATE-1
format	dd-MMM-yyyy

Text Data

width	300px
name	ACKNOTES-1
content	text

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

List Data

name	ACK-2

YesA

NoB

Text Data

name	ACKNAME-2
type	line
content	text

Date Data

name	ACKDATE-2
format	dd-MMM-yyyy

Text Data

width	300px
name	ACKNOTES-2
content	text

The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.

List Data

name	ACK-3

YesA

NoB

Text Data

name	ACKNAME-3
type	line
content	text

Date Data

name	ACKDATE-3
format	dd-MMM-yyyy

Text Data

width	300px
name	ACKNOTES-3
content	text

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

==========

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

Panel

bgColor	lightyellow
titleColor	maroon
titleBGColor	lightcyan
title	Program Administration: STAFF USE ONLY

Table Data

name	REQUIREMENTS
initialRows	1

Program Requirement	Date Satisfied/Confirmed	Initials	Notes
RQMTBLOCKSpeakers BureauA Communications DepartmentB Meetings TeamC Constituency Travel NotifiedD Travel BookedE Program Criteria SatisfiedF	SATISFIEDdd-MMM-yyyyBLOCK	50pxINITIALSBLOCKJDLA RHB	text300pxNOTESBLOCK

Trip Proposal Approved and
Transferred to Official Forms:

Date Data

name	P-POSTED
format	dd-MMM-yyyy

Trip Assessment Approved and
Transferred to Official Forms:

Date Data

name	A-POSTED
format	dd-MMM-yyyy

CROPP Application Template v8 (May 2014)

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