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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. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. Some information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing this proposal.
  4. This form may be edited/saved as many times as needed. When completed, please notify your Program Coordinator (PC) for further processing.
Note

Trip Proposals must be approved within the Organization/Structure and Regional GSE Team at least six (6) weeks before the event start date.
Questions about this program should be directed to: CROP Staff.

Person Completing Form
Name:
Text Data
namePERSON
typeline
contenttext


Date:
Date Data
formatdd-MMM-yyyy
nameAPPDATE
now
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width30%
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bgColorwhite
titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Text Data
nameSTATUS
typeline


Report Info
data:END > shift + 22d
data:END > shift + 22d
formatdd-MMM-yyyy

Trip Proposal Section

LINK TO TRIP ASSESSMENT :  NARALO Trip Assessment 6

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

Number Data
minValue1
maxValue5
format###
nameTRIPS
width100px
 

2) Traveler Contact Information and Itinerary:

Table Data
nameCONTACTINFO
initialRows1
TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
TRAVELER1linetextBLOCK


T-EMAILlineBLOCK


FROM1linetextBLOCK


FROM2linetextBLOCK


01-JUL-2017dd-MMM-yyyyDEPART30-JUN-2018BLOCK
01-JUL-2017dd-MMM-yyyyRETURN30-JUN-2018BLOCK
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text Data
nameSPECIAL
width650px
contenttext


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


5) Event/Conference Dates:
Start:
Date Data
formatdd-MMM-yyyy
nameSTART
 
End:
Date Data
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 Global Stakeholder Engagement Region:
List Data
nameREGION
AAfrica


BAsia


CAustralasia/Pacific Islands


DEurope


ELatin America and Caribbean


FMiddle East


GNorth America


HEastern Europe and Central Asia


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:

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Content Guidelines (click here)

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Please develop specific goals/outcomes for as many of the following categories as applicable:

1) Workshops/Seminars/Presentations including roles (e.g., speaker, facilitator, organizer), relevant content, literature to be disseminated, and specific purposes/objectives.

2) Engagement/Outreach including broadening awareness of ICANN in targeted regional areas (e.g., under-represented).

3) Recruitment including formal/informal invitations to become involved in ICANN stakeholder communities, working groups, and/or fellowship programs.

4) Fulfillment of documented Outreach Strategic Plans and/or ICANN Regional Strategies.

5) Knowledge Sharing including intentions to extend learnings within and among ICANN stakeholder communities.


Text Data
nameGOALS


11) Additional Information (optional):
Text Data
nameADDTLINFO
 
_______________________________________________________________
Panel
titleColornavy
titleBGColorlightyellow
titleAcknowledgements Section

Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
The participants identified in this application agree to abide by the terms and conditions of this FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page.
List Data
nameACK1
AYes


BNo


Text Data
nameACKNAME1
typeline
contenttext


Date Data
formatdd-MMM-yyyy
nameACKDATE1
 
Text Data
nameACKNOTES1
width300px
contenttext


The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
List Data
nameACK2
AYes


BNo


Text Data
nameACKNAME2
typeline
contenttext


Date Data
formatdd-MMM-yyyy
nameACKDATE2
 
Text Data
nameACKNOTES2
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
nameACK3
AYes


BNo


Text Data
nameACKNAME3
typeline
contenttext
 
Date Data
formatdd-MMM-yyyy
nameACKDATE3
 
Text Data
nameACKNOTES3
width300px
contenttext
 
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.
List Data
nameACK4
AYes


BNo


Text Data
nameACKNAME4
typeline
contenttext
 
Date Data
formatdd-MMM-yyyy
nameACKDATE4
 
Text Data
nameACKNOTES4
width300px
contenttext
 


=======================================================
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bgColorlightyellow
titleColormaroon
titleBGColorlightcyan
titleProgram Administration: STAFF USE ONLY

Approved Travel Elements:

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


dd-MMM-yyyyADEPARTBLOCK
dd-MMM-yyyyARETURNBLOCK
trueFUNDEDchecknewlineINLINEAAirfare


BHotel/Lodging


CPer Diem


DVisa


ERegistration


Staff Department Notifications:

Table Data
nameREQUIREMENTS
initialRows1
Program RequirementDate Satisfied/ConfirmedInitialsNotes
RQMTBLOCKASpeakers Bureau


BCommunications Department


CMeetings Team


DConstituency Travel Notified


ETravel Booking Initiated with Attendees FTravel Booking Completed/Confirmed GProgram Criteria Satisfied HOther Disposition 
dd-MMM-yyyySATISFIEDBLOCK
INITIALS50pxBLOCK



BMW


CBR


EJDJ


FAL


GOS


NOTES300pxtextBLOCK


Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal
Date Data
formatdd-MMM-yyyy
namePPOSTED
 
Trip Assessment
Date Data
formatdd-MMM-yyyy
nameAPOSTED
 


CROP Trip Proposal Template (May 2017)