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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
titleAF01

Note

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

Trip/Event Assessment Form

LINK: AFRALO Trip Proposal 1

1) Describe how the original Proposed Goals
and Outcomes were accomplished:

Text Data
nameOUTCOMES
width600px
nameOUTCOMES
 

2) Additional information pertaining
to this outreach event (optional):
Text Data
nameINFOEVAL
width600px
nameINFOEVAL

 

3) Date Completed:
Date Data
nameCOMPLETED
formatdd-MMM-yyyy
nameCOMPLETED
 
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titleColornavy
titleBGColorlightyellow
titleCommunity Confirmation Section

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

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

 

BNoB

 

Text Data
nameACKNAME-1
typeline
contenttext

 

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

 

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

 

BNoB

 

Text Data
nameACKNAME-2
typeline
contenttext

 

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