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: | Judith Samantha Tchimmoe Fezeu | Date: | 06-May-2019 |
Application |
|
Trip Proposal Section | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1) Traveler Contact Information and Itinerary:
| |||||||||||||
2) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | |||||||||||||
3) Event/Conference Name, Title, or Descriptor: | ICANN65 Marrakech Policy Forum | ||||||||||||
4) Event/Conference Dates: |
| ||||||||||||
5) Event/Conference Website Link: | |||||||||||||
6) Primary Event/Conference Location: |
| ||||||||||||
7) ICANN Global Stakeholder Engagement Region: | Africa | ||||||||||||
8) Activity Sponsors: | Meeting hosted by: ANRT: Agence Nationale de Reglementation de Telecommunications No other sponsorship information presently available | ||||||||||||
9) Proposed Goals and Outcomes: Content Guidelines (click here) | As a recent member of the IPC, and one of the very few members based in the Africa region, my attendance at the Marrakech meeting is in-line with the IPC’s FY19 Outreach Strategy (https://community.icann.org/display/CROP19/IPC+Outreach+Strategic+Plan), in particular:
I am a recent member of the IPC, having attended the Johannesburg meeting in 2017 as an ICANN Fellow. I would like to be more involved with the IPC and I believe that there are real benefits to being able to attend a meeting in person in order to participate in the sessions and to meet members of the community, both within the IPC and Commercial Stakeholder Group and more widely. This will allow me to improve my knowledge and understanding of important internet policy topics such as GDPR/WHOIS, thereby giving me the confidence to participate more actively within the IPC and to bring the perspective from my country and region. I would also hope to be able to share my improved understanding by helping to demystifying ICANN for members of my law firm, and others within my business and legal community. | ||||||||||||
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. |
| ||||||||||||
_______________________________________________________________ |
Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.
Acknowledgements | Confirmed? | Who Confirmed? | Date of Confirmation | Notes |
---|---|---|---|---|
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 | Judith Samantha Tchimmoe Fezeu | 06-May-2019 | |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Chantelle Doerksen | 06-May-2019 | On behalf of Susan Payne, and IPC Leadership |
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 | Pierre Danjinou | 07-May-2019 | Concurred by Pierre Danjinou |
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | Yes | Maryam Bakoshi | 07-May-2019 | |
=============== | ========== | ============================== |
Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
---|---|---|---|
Judith Samantha Tchimmoe Fezeuezeu | 24-Jun-2019 | 27-Jun-2019 | Airfare |
Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Staff Name | Notes |
Program Criteria Satisfied | 07-May-2019 | Maryam Bakoshi | |
Constituency Travel Notified | 07-May-2019 | Maryam Bakoshi |
CROP Trip Proposal Template (June 2018)