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Trip Proposals must be completed at least six (6) weeks before the event start date.
Person Completing Form: | Brian J. Winterfeldt | Date: | 10-Sep-2015 |
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Application Status | Assessment Due-Date | Form ID # |
| IPC01 |
Trip Proposal Section | |||||||||||||
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1) Number of Travelers: | 1 | ||||||||||||
2) Traveler Contact Information and Itinerary:
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3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | |||||||||||||
4) Event/Conference Name, Title, or Descriptor: | ICANN 54 | ||||||||||||
5) Event/Conference Dates: |
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6) Event/Conference Website Link: | https://meetings.icann.org/en/dublin54 | ||||||||||||
7) Primary Event/Conference Location: |
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8) ICANN Geographic Region: | Europe | ||||||||||||
9) Activity Sponsors: | Sponsors | ||||||||||||
10) Proposed Goals and Outcomes: | Increased representation of Intellectual Property interests at ICANN 54 and outreach to potential new IPC members in the ICANN European region. | ||||||||||||
11) Additional Information (optional): | *Ms. Casey has confirmed that she will be responsible for any additional hotel and per diem charges during ICANN 54 that extend beyond the provided CROPP funding. **ICANN Stakeholder Engagement Vice-President for the region has confirmed that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies. | ||||||||||||
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Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
Acknowledgements | Confirmed? | Name | Date | Notes |
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The participants identified in this application agree to abide by the terms and conditions of this FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page. | Yes | Brian J. Winterfeldt | 10-Sep-2015 | I confirm that the participant has been informed of the terms and conditions of the FY16 CROPP and has agreed to abide by them. |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Brian J. Winterfeldt | 10-Sep-2015 | I confirm that IPC leadership has authorized the submission of this Trip Proposal. |
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 | Benedetta Rossi | 11-Sep-2015 | Jean-Jacques Sahel approved this request. |
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Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Jenifer Casey | 19-Oct-2015 | 21-Oct-2015 | Airfare |
Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
Program Criteria Satisfied | 11-Sep-2015 | BR | |
Constituency Travel Notified | 11-Sep-2015 | BR |
Trip Proposal Confirmed and Transferred to Approved Forms: | Trip/Event Assessment Confirmed and Transferred to Approved Forms: |
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CROPP Trip Proposal Template v4 (Aug 2015)