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Section
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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/Event Assessment form will be automatically associated with its related 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 Trip/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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width35%
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bgColorwhite
titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Assessment
Status 		Form ID#
Text Data
nameSTATUSASTATUS
typeline

 

Status
colourBlue
titleAP03

Note

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

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titleColornavy
titleBGColorlightyellow
titleAcknowledgements 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
AYes

 

BNo

 

Text Data
nameACKNAME-1
typeline
contenttext

 

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

 

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

 

BNo

 

Text Data
nameACKNAME-2
typeline
contenttext

 

Date Data
formatdd-MMM-yyyy
nameACKDATE-2
 
Text Data
nameACKNOTES-2
width300px
contenttext
 
The ICANN Stakeholder Engagement Vice-President has concurred that this Trip/Event Assessment satisfactorily reports the extent to which the goals/outcomes outlined in the original proposal have been achieved.
List Data
nameACK-3
AYes

 

BNo

 

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

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