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> soacecollaborate
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> CROP-FY18

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SOAC/E Archive:

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

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changes.mady.by.user Tijani Ben Jemaa

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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
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contenttext
requiredtrue

 

Date:

Date Data
nameAPPDATE
formatdd-MMM-yyyy
requiredtrue
now

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titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Application
Status 		Assessment
Due-Date 		Form ID #
Text Data
nameSTATUS
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Report Info
data:END > shift + 22d
data:END > shift + 22d
formatdd-MMM-yyyy
source@self

Status
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titleAF01

Trip Proposal Section

LINK: AFRALO Trip/Event Assessment 1 DRAFT

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

Number Data
minValue1
maxValue5
width100px
nameTRIPS
format###
 

2) Traveler Contact Information and Itinerary:

Table Data
nameCONTACTINFO
initialRows1
TravelerEmailFrom
City		From
Country		Depart
Date		Return
Date
textTRAVELER1BLOCKline

 

T-EMAILBLOCKline

 

textFROM1BLOCKline

 

textFROM2BLOCKline

 

DEPARTdd-MMM-yyyyBLOCKRETURNdd-MMM-yyyyBLOCK
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text Data
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
 
End:
Date Data
nameEND
formatdd-MMM-yyyy
 
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
AfricaA

 

AsiaB

 

Australasia/Pacific IslandsC

 

EuropeD

 

Latin America and CaribbeanE

 

Middle EastF

 

North AmericaG

 

Russia/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
 

======================================= 
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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
YesA

 

NoB

 

Text Data
nameACKNAME-1
typeline
contenttext

 

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

 

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

 

NoB

 

Text Data
nameACKNAME-2
typeline
contenttext

 

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

 

NoB

 

Text Data
nameACKNAME-3
typeline
contenttext
 
Date Data
nameACKDATE-3
formatdd-MMM-yyyy
 
Text Data
width300px
nameACKNOTES-3
contenttext
 
  =======================================================

 

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Approved Travel Elements:

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

 

30-Jun-2016ADEPART01-Jul-2015dd-MMM-yyyyBLOCK30-Jun-2016ARETURN01-Jul-2015dd-MMM-yyyyBLOCK

FUNDEDINLINEchecktruenewlineAirfareA

 

Hotel/LodgingB

 

Per DiemC

 

VisaD

 

RegistrationE

 

Staff Department Notifications:

Table Data
nameREQUIREMENTS
initialRows1
Program RequirementDate Satisfied/ConfirmedInitialsNotes
RQMTBLOCKSpeakers BureauA

 

Communications DepartmentB

 

Meetings TeamC

 

Constituency Travel NotifiedD

 

Travel Booking Initiated with AttendeesE Travel Booking Completed/ConfirmedF Program Criteria SatisfiedG 		SATISFIEDdd-MMM-yyyyBLOCK50pxINITIALSBLOCKJDLA

 

RHB

 

BRC

 

JDJE

 

KBF

 

text300pxNOTESBLOCK

 

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


CROPP Trip Proposal Template v4 (Aug 2015)