Instructions:
- Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
- Travelers are asked to collaborate as a team in pulling together the appropriate information.
- This Trip Assessment form will be automatically associated with its related Trip Proposal; therefore, no duplicate traveler identification information is required.
- 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 event.
- This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.
Assessment Status | Form ID# |
NA05 |
Trip Assessments should be completed within three (3) weeks of the traveler's return date.
Trip Assessment Form | |
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1) Describe how the original Purpose and Goals were accomplished: | |
2) Describe how the original Outcomes were achieved:
| |
3) Date Completed: | 18-Jun-2015 |
4) Additional information pertaining to this outreach event (optional): |
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
Acknowledgements | Confirmed? | Name | Date | Notes |
---|---|---|---|---|
The Trip Assessment information has been gathered and properly entered into this form. | ||||
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Assessment. | ||||
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CROPP Trip Assessment Template v1 (May 2014)