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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
formatdd-MMM-yyyy
nameAPPDATE
 

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Panel
bgColorwhite
titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Event
Status 
Assessment
Due-Date 
Form ID #
Text Data
nameSTATUS
typeline

 

Report Info
data:END > shift + 22d
data:END > shift + 22d
formatdd-MMM-yyyy

Status
colourBlue
titleBC01

Event Proposal Section

Link: BC Trip/Event Assessment 1 DRAFT

1) Which GNSO structure is submitting this request:

List Data
nameGNSOC
ABC

 

BIPC

 

CISPC

 

DNCUC

 

ENPOC

 

2) Who will be the principal liaison assigned
to work with Communications:
Name:
Text Data
nameLIAISON
width650px
typeline
contenttext

 

Email:
Text Data
nameL-EMAIL
width650px
typeline
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
formatdd-MMM-yyyy
nameSTART
 
End:
Date Data
formatdd-MMM-yyyy
nameEND
 
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
AAfrica

 

BAsia

 

CAustralasia/Pacific Islands

 

DEurope

 

ELatin America and Caribbean

 

FMiddle East

 

GNorth America

 

HRussia/CIS/Eastern Europe

 

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

Text Data
nameGOALS

 

8) Additional Information (optional):

Text Data
nameADDTLINFO
 

Panel
titleColornavy
titleBGColorlightyellow
titleCommunity Confirmation Section

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

AcknowledgementsConfirmed?NameDateNotes
The Engagement Event goals, dates, and other requirements have been negotiated with applicable ICANN Staff departments and approved as documented above.
List Data
nameACK-1
AYes

 

BNo

 

Text Data
nameACKNAME-1
typeline
contenttext

 

Date Data
formatdd-MMM-yyyy
nameACKDATE-1
 
Text Data
nameACKNOTES-1
width300px
contenttext

 

The ICANN Organization / Structure's leadership has authorized the submission of this Engagement Event Proposal.
List Data
nameACK-2
AYes

 

BNo

 

Text Data
nameACKNAME-2
typeline
contenttext

 

Date Data
formatdd-MMM-yyyy
nameACKDATE-2
 
Text Data
nameACKNOTES-2
width300px
contenttext
 
The ICANN Stakeholder Engagement Vice-President has concurred that the Goals/Outcomes of this Engagement Event Proposal are consistent with operational plans and/or strategies.
List Data
nameACK-3
AYes

 

BNo

 

Text Data
nameACKNAME-3
typeline
contenttext
 
Date Data
formatdd-MMM-yyyy
nameACKDATE-3
 
Text Data
nameACKNOTES-3
width300px
contenttext
 
  =======================================================
Panel
bgColorlightyellow
titleColormaroon
titleBGColorlightcyan
titleProgram Administration: STAFF USE ONLY
Table Data
nameREQUIREMENTS
initialRows1
Program RequirementDate Satisfied/ConfirmedInitialsNotes
RQMTBLOCKASpeakers Bureau

 

BCommunications Department

 

CMeetings Team

 

DConstituency Travel Notified

 

ETravel Booked FProgram Criteria Satisfied 
dd-MMM-yyyySATISFIEDBLOCKINITIALS50pxBLOCKAJDL

 

BRH

 

CBR

 

DKB

 

NOTES300pxtextBLOCK

 

Event Proposal Confirmed and
Transferred to Approved Forms: 
Date Data
formatdd-MMM-yyyy
nameP-POSTED
 
Event Assessment Confirmed and
Transferred to Approved Forms: 
Date Data
formatdd-MMM-yyyy
nameA-POSTED
 

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