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Trip Proposal Section

LINK:  AFRALO Trip/Event Assessment 4 DRAFT

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

Number Data
minValue1
maxValue5
format###
nameTRIPS
width100px
 

2) Traveler Contact Information and Itinerary:

Table Data
nameCONTACTINFO
initialRows1
TravelerEmailFrom
City		From
Country		Depart
Date		Return
Date
TRAVELER1linetextBLOCK

 

T-EMAILlineBLOCK

 

FROM1linetextBLOCK

 

FROM2linetextBLOCK

 

01-Jul-2016dd-MMM-yyyyDEPARTBLOCKdd-MMM-yyyyRETURN30-Jun-2017BLOCK
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text Data
nameSPECIAL
width650px
contenttext

 

4) Event/Conference Name, Title, or Descriptor:
Text Data
nameEVENT
contenttext

 

5) Event/Conference Dates:
Start:
Date Data
formatdd-MMM-yyyy
nameSTART
 
End:
Date Data
formatdd-MMM-yyyy
nameEND
 
6) Event/Conference Website Link:
Text Data
nameLINK

 

7) Primary Event/Conference Location:
Street
Address:
Text Data
nameADDRESS
contenttext

 

City:
Text Data
nameCITY
typeline
contenttext

 

Country:
Text Data
nameCOUNTRY
typeline
contenttext

 

8) ICANN Global Stakeholder Engagement Region:
List Data
nameREGION
AAfrica

 

BAsia

 

CAustralasia/Pacific Islands

 

DEurope

 

ELatin America and Caribbean

 

FMiddle East

 

GNorth America

 

HEastern Europe & Central Asia

 

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


Text Data
nameSPONSORS

 

10) Proposed Goals and Outcomes:

Toggle Cloak
Content Guidelines (click here)

Cloak

Please develop specific goals/outcomes for as many of the following categories as applicable:

1) Workshops/Seminars/Presentations including roles (e.g., speaker, facilitator, organizer), relevant content, literature to be disseminated, and specific purposes/objectives.

2) Engagement/Outreach including broadening awareness of ICANN in targeted regional areas (e.g., under-represented).

3) Recruitment including formal/informal invitations to become involved in ICANN stakeholder communities, working groups, and/or fellowship programs.

4) Fulfillment of documented Outreach Strategic Plans and/or ICANN Regional Strategies.

5) Knowledge Sharing including intentions to extend learnings within and among ICANN stakeholder communities.

 

Text Data
nameGOALS

 

11) Additional Information (optional):

Text Data
nameADDTLINFO
 

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