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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:

David Cake

Date:

13-Nov-2018

STAFF USE ONLY

Application
Status 

TRAVELER DEADLINE

Assessment Due Date

06-Dec-2018

Link to Trip Assessment

NPOC Trip Assessment 2

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City		From
Country		Depart DateReturn Date
David Cake
dave@davecake.net
Perth, Western Australia
Australia
05-Nov-2018
15-Nov-2018
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Additional travel within Japan may be undertaken at personal expense.
3) Event/Conference Name, Title, or Descriptor:
ICANN64
4) Event/Conference Dates:
Start:
09-Nov-2018
End:
14-Nov-2018
5) Event/Conference Website Link:
6) Primary Event/Conference Location:
Street
Address:
City:
Country:
7) ICANN Global Stakeholder Engagement Region:
Australasia/Pacific Islands

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


9) Proposed Goals and Outcomes:

Content Guidelines (click here)


10) Additional Information (optional):

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

_______________________________________________________________
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.
The ICANN Organization / Structure's 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.
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.


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

Approved Travel Elements:

TravelerApproved
Arrival Date		Approved
Departure Date		Approved Fees 

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes


CROP Trip Proposal Template (June 2018)

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