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SOAC/E Archive:

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

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Old Version 2

changes.mady.by.user Ken Bour

Saved on Aug 06, 2015

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New Version Current

changes.mady.by.user Ken Bour

Saved on Sep 15, 2015

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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
Outreach/Engagement Event Proposals must be completed at least eight (8) weeks before the event start date.

Person Completing Form:

Text Data

name	PERSON
type	line
content	text
required	true

Date Submitted:

Date Data

name	APPDATE
format	dd-MMM-yyyy
name	APPDATE

Column

width	45%

Panel

bgColor	white
titleColor	maroon
titleBGColor	lightcyan
title	STAFF USE ONLY

Event
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	BC01

Event Proposal Section

Link: BC Trip/Event Assessment 1

1) Which GNSO structure is submitting this request:

List Data

name	GNSOC

ABC

A

BIPC

B

CISPC

C

DNCUC

D

ENPOC

E

2) Who will be the principal liaison assigned
to work with Communications:

Name:

Text Data

name	LIAISON
width	650px
name	LIAISON
type	line
content	text

Email:

Text Data

width	650px
name	L-EMAIL
width	650px
type	line
content	text

3) Event Title or Descriptor:

Text Data

name	EVENT
content	text

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

name	START
format	dd-MMM-yyyy
name	START

End:

END

Date Data

name

format	dd-MMM-yyyy
name	END

5) 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

6) ICANN Geographic Region:

List Data

name	REGION

AAfrica

A

BAsia

B

CAustralasia/Pacific Islands

C

DEurope

D

ELatin America and Caribbean

E

FMiddle East

F

GNorth America

G

HRussia/CIS/Eastern Europe

H

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

Text Data

name	GOALS
content	text

8) 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 Engagement Event goals, dates, and other requirements have been negotiated with applicable ICANN Staff departments and approved as documented above.

List Data

name	ACK-1

AYes

A

BNo

B

Text Data

name	ACKNAME-1
type	line
content	text

name

Date Data

ACKDATE-1	format	dd-MMM-yyyy
name	ACKDATE-1

width

Text Data

300px	name	ACKNOTES-1
width	300px
content	text

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

List Data

name	ACK-2

AYes

A

BNo

B

Text Data

name	ACKNAME-2
type	line
content	text

name

Date Data

ACKDATE-2	format	dd-MMM-yyyy
name	ACKDATE-2

Text Data

width	300px
name	ACKNOTES-2
width	300px
content	text

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

name	ACK-3

AYes

A

BNo

B

Text Data

name	ACKNAME-3
type	line
content	text

name

Date Data

ACKDATE-3	format	dd-MMM-yyyy
name	ACKDATE-3

Text Data

width	300px
name	ACKNOTES-3
width	300px
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
RQMTBLOCKASpeakers BureauA BCommunications DepartmentB CMeetings TeamC DConstituency Travel NotifiedD ETravel BookedE FProgram Criteria SatisfiedF	SATISFIEDdd-MMM-yyyySATISFIEDBLOCK	INITIALS50pxINITIALSBLOCKAJDLA BRHB CBRC DKBD	NOTES300pxtext300pxNOTESBLOCK

Event Proposal Confirmed and
Transferred to Approved Forms:

P-POSTED

Date Data

name

format	dd-MMM-yyyy
name	P-POSTED

Event Assessment Confirmed and
Transferred to Approved Forms:

name

Date Data

A-POSTED	format	dd-MMM-yyyy
name	A-POSTED

CROPP Outreach Engagement Event Template v2 (May 2015)

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