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Info

Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. This Trip Assessment form will be automatically associated with its related Trip Proposal; therefore, no duplicate traveler identification information is required.
  4. The information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing the event.
  5. This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.
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titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Assessment
Status 
Form ID#
Text Data
nameSTATUS
typeline

 

Status
colourBlue
titleNCUC05

Note

Trip Assessments should be completed within three (3) weeks of the traveler's return date.

Trip Assessment Form

1) Describe how the original Purpose and Goals were accomplished:

Text Data
namePURPOSE2
width600px
 

2) Describe how the original Outcomes were achieved:

 

Text Data
nameOUTCOMES2
width600px

 

3) Date Completed:
Date Data
nameCOMPLETED
formatdd-MMM-yyyy
nameCOMPLETED
 
4) Additional information pertaining to this outreach event (optional):
Text Data
nameINFO-EVAL
width600px

 

Panel
titleColornavy
titleBGColorlightyellow
titleCommunity Confirmation Section

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

AcknowledgementsConfirmed?NameDateNotes
The Trip Assessment information has been gathered and properly entered into this form.
List Data
nameACK-1
AYesA

 

BNoB

 

Text Data
nameACKNAME-1
typeline
contenttext

 

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

 

The ICANN Organization / Structure's leadership has authorized the submission of this Trip Assessment.
List Data
nameACK-2
AYesA

 

BNoB

 

Text Data
nameACKNAME-2
typeline
contenttext

 

name
Date Data
ACKDATE-2formatdd-MMM-yyyy
nameACKDATE-2
 
Text Data
nameACKNOTES-2
width300px
contenttext
 
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