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# |
IPC01 |
Trip/Event Assessments should be completed within three (3) weeks of the traveler's return date.
Trip/Event Assessment Form | LINK: IPC Trip Proposal 1 | |
---|---|---|
1) Describe how the original Proposed Goals |
| |
2) Additional information pertaining to this outreach event (optional): | ||
3) Date Completed: | 15-Dec-2015 |
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
Acknowledgements | Confirmed? | Name | Date | Notes |
---|---|---|---|---|
The Trip/Event Assessment information has been gathered and properly entered into this form. | Yes | Brian J. Winterfeldt | 15-Dec-2015 | I confirm that the Trip #1 Assessment has been completed and submitted in accordance with the terms and conditions of the FY16 CROPP. |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip/Event Assessment. | Yes | Brian J. Winterfeldt | 15-Dec-2015 | I confirm that IPC leadership has authorized the submission of this Trip #1 Assessment. |
=============== | ========== | ============================== |
CROPP Trip/Event Assessment Template v2 (Jun 2015)