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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

Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:
Text Data
namePERSON
typeline
contenttext
requiredtrue

 

Date:

Date Data
nameAPPDATE
formatdd-MMM-yyyy
nameAPPDATE
requiredtrue
now

Column
width45%
Panel
bgColorwhite
titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Application
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
titleAP01

Trip Proposal Section

LINK: APRALO Trip/Event Assessment 1

1) Number of Travelers:
(Note: Each traveler uses one trip of the five (5) allocated to each organization/structure).  

Number Data
minValue1
maxValue5
widthformat100px###
nameTRIPS
formatwidth###100px
 

2) Traveler Contact Information and Itinerary:

Table Data
nameCONTACTINFO
initialRows1
TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
TRAVELER1linetextTRAVELER1BLOCKline

 

T-EMAILlineBLOCKline

 

FROM1linetextFROM1BLOCKline

 

FROM2linetextFROM2BLOCKline

 

DEPARTdd-MMM-yyyyDEPARTBLOCKRETURNdd-MMM-yyyyRETURNBLOCK
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text Data
nameSPECIAL
width650px
nameSPECIAL
contenttext

 

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

 

5) Event/Conference Dates:
Start:
Date Data
nameSTART
formatdd-MMM-yyyy
nameSTART
 
End:
Date Data
nameEND
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 Geographic Region:
List Data
nameREGION
AAfricaA

 

BAsiaB

 

CAustralasia/Pacific IslandsC

 

DEuropeD

 

ELatin America and CaribbeanE

 

FMiddle EastF

 

GNorth AmericaG

 

HRussia/CIS/Eastern EuropeH

 

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:

Text Data
nameGOALS
contenttext

 

11) 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 participants identified in this application agree to abide by the terms and conditions of this FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page.
List Data
nameACK-1
AYesA

 

BNoB

 

Text Data
nameACKNAME-1
typeline
contenttext

 

name
Date Data
ACKDATE-1formatdd-MMM-yyyy
nameACKDATE-1
 
300px
Text Data
width
nameACKNOTES-1
width300px
contenttext

 

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

 

BNoB

 

Text Data
nameACKNAME-2
typeline
contenttext

 

Date Data
nameACKDATE-2
formatdd-MMM-yyyy
nameACKDATE-2
 
width
Text Data
300pxnameACKNOTES-2
width300px
contenttext
 
The ICANN Stakeholder Engagement Vice-President has concurred that the Proposed Goals/Outcomes of this Trip Proposal are consistent with operational plans and/or strategies.
List Data
nameACK-3
AYesA

 

BNoB

 

Text Data
nameACKNAME-3
typeline
contenttext
 
ACKDATE-3
Date Data
name
formatdd-MMM-yyyy
nameACKDATE-3
 
width
Text Data
300pxnameACKNOTES-3
width300px
contenttext
 
  =======================================================

...

Panel
bgColorlightyellow
titleColormaroon
titleBGColorlightcyan
titleProgram Administration: STAFF USE ONLY

Approved Travel Elements:

Table Data
nameTRAVELAPPROVAL
initialRows1
TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
ATRAVELERlinetextATRAVELERBLOCKline

 

30-Jun-2016ADEPART01-Jul-2015dd-MMM-yyyyBLOCKADEPART30-Jun-2016ARETURNBLOCK01-Jul-2015dd-MMM-yyyyARETURN30-Jun-2016BLOCK

trueFUNDEDINLINEchecktruenewlineINLINEAAirfareA

 

BHotel/LodgingB

 

CPer DiemC

 

DVisaD

 

ERegistrationE

 

Staff Department Notifications:

Table Data
nameREQUIREMENTS
initialRows1
Program RequirementDate Satisfied/ConfirmedInitialsNotes
RQMTBLOCKASpeakers BureauA

 

BCommunications Department
B

 

CMeetings Team
C

 

DConstituency Travel Notified
D

 

ETravel Booking Initiated with Attendees
E FTravel Booking Completed/ConfirmedF GProgram Criteria SatisfiedG 
SATISFIEDdd-MMM-yyyySATISFIEDBLOCKINITIALS50pxINITIALSBLOCKAJDLA

 

BRH
B

 

CBR
C

 

EJDJ
E

 

FKB
F

 

NOTES300pxtext300pxNOTESBLOCK

 

Trip Proposal Confirmed and
Transferred

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal name
Date Data
P-POSTEDformatdd-MMM-yyyy
nameP-POSTED
 
Trip/Event Assessment Confirmed andTransferred to Approved Forms: A-POSTED
Date Data
name
formatdd-MMM-yyyy
nameA-POSTED
 


CROPP Trip Proposal Template v4 (Aug 2015)