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Instructions:

1. You must be logged in to the Community Wiki with a valid Username and Password in order to complete forms within CROP.

2. Your organization must first complete and get approval for the Outreach Strategic Plan before any CROP trip could be processed.  

3. There are two CROP forms required for each Trip: a) a Trip Proposal; b) a Trip Assessment (must be complete within three (3) weeks of all travelers having returned from the event, no later than the assessment due date which is automatically calculated based on the trip return date).

4. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.

5. To fill out the the form, click  (top of the screen)

6. Answer each of the questions that appears within the form. Use the scroll bar (right) to reveal all contents. Click here to read the full instructions

IMPORTANT: This form must be completed by the traveler him/herself.

Person Completing Form
Name:

Kerry Omir Kerr

Date:

15-Jan-2020

STAFF USE ONLY

Application
Status 

TRAVELER DEADLINE

Assessment Due Date

03-Apr-2020

Link to Trip Assessment

FY20 LACRALO Trip Assessment 3

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City		From
Country		Depart DateReturn Date
Kerry Omir Kerr
kerrkerry@gmail.com
Kingstown
St. Vincent & the Grenadines
06-Mar-2020
11-Mar-2020
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
3) Event/Conference Name, Title, or Descriptor:
ICANN67
4) Event/Conference Dates:
Start:
07-Mar-2020
End:
12-Mar-2020
5) Event/Conference Website Link:
https://meetings.icann.org/en/cancun67
6) Primary Event/Conference Location:
Street
Address:
Cancún International Convention Center MZ-48 L-08 office 2 1.N.Blvd. Kukulcan, Zona Hotelera, 77500 Cancun, Quintana Roo
City:
Cancún
Country:
Mexico
7) ICANN Global Stakeholder Engagement Region:
Latin America and Caribbean

8) Activity Sponsors:
(Note: all event sponsors must be identified
in order to comply with ICANN travel guidelines).


Secretariat of Communications and Transportation of México- NIC México- The Mexican Industry Association- Internet Society Chapter México- Punto 2012 and Neubox

9) Proposed Goals and Outcomes:

Content Guidelines (click here)

1) Workshops/Seminars/Presentations

GOALS:
To evaluate actions carried out by the working groups, and to work towards developing a strategic plan for period 2020 - 2024 of LACRALO.
This allows us to carry out actions, build vision and develop plans to increase participation, develop skills and growth of the members of the region.
Assist LACRALO leadership to achieve desired objectives at ICANN67 

OUTCOMES: 
An increased commitment of the ALS's in our region towards ICANN policy development process.
To this end, spaces for interaction between the LAC community to promote knowledge and participation within the ICANN ecosystem and especially within LACRALO


2) Engagement/Outreach

GOALS:
To assist with the Outreach & Engagement SubCommittee to achieve their goals at ICANN67 and beyond.
Engaging under represented areas and fostering interaction between the LAC community and them.

OUTCOMES:
Working closer with O&E SC towards a wider engagement of territories within LACRALO for their participation and involvement.
Plan development of working towards ALS development and trying. LACRALO will work to increase their numbers in the coming years.

10) Additional Information (optional):

I submit this request for to Attend the first face-to-face meeting of the extended board of LACRALO, as LACRALO Secretary-Elect and Outreach & Engagement WG Co-Chair.

11) Consent & Authorization:

By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service.

If you agree to text above, please fill out your name and date in the box on the right.


NameDate

Kerry Omir Kerr

15-Jan-2020

_______________________________________________________________
Acknowledgements Section

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

AcknowledgementsConfirmed?Who Confirmed?Date of ConfirmationNotes
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.
Yes
Juan Manuel Rojas
17-Jan-2020
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
Yes
Sergio Salinas
17-Jan-2020
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.
Yes
Maryam Bakoshi
21-Jan-2020
on belief of Rodrigo de la Parra
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.
Yes
Maryam Bakoshi
20-Jan-2020


=======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date		Approved
Departure Date		Approved Fees 
Kerry Omir Kerr
06-Mar-2020
09-Mar-2020

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes
Program Criteria Satisfied
20-Jan-2020
Maryam Bakoshi
Self funded from 9 March night
Constituency Travel Notified
21-Jan-2020
Maryam Bakoshi


CROP Trip Proposal Template (June 2018)

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