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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:

Carlos Antonio Leal Saballos

Date:

15-Jan-2020

STAFF USE ONLY

Application
Status 

TRAVELER DEADLINE

Assessment Due Date

03-Apr-2020

Link to Trip Assessment

FY20 LACRALO Trip Assessment 2

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City		From
Country		Depart DateReturn Date
Carlos Antonio Leal Saballos
lealsaballos@gmail.com
Managua
Nicaragua
06-Mar-2020
15-Mar-2020
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Departure and return dates requested are exceed that is allowed by the CROP, it is becasuse I need to attend several sessions among ICANN 67 meetings and others commitments to complete after the meeting. The days that exceed the CROP covergange will be cover by my own.
3) Event/Conference Name, Title, or Descriptor:
ICANN 67
4) Event/Conference Dates:
Start:
07-Mar-2020
End:
12-Mar-2020
5) Event/Conference Website Link:


https://meetings.icann.org/en/cancun67


6) Primary Event/Conference Location:
Street
Address:
Cancún International Convention Center MZ-48 L-08 office 2 1.N.Blvd. Kukulcan, Zona Hotelera, 77500 Cancun, Quintana Roo
City:
Cancún
Country:
México
7) ICANN Global Stakeholder Engagement Region:
Latin America and Caribbean

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


Secretariat of Communications and Transportation of México- NIC México- The Mexican Industry Association- Internet Society Chapter México- Punto 2012 and Neubox

9) Proposed Goals and Outcomes:

Content Guidelines (click here)

GOALS:
Participate in working sessions in my capacity of LACRALO Vice-Chair
listen to activities report carried out by LACRALO WG
Support drafting and development of LACRALO 2020-2024 strategic plan in order to carry out actions to build LACRALO vision and increase participation, developing skills of region members


OUTCOMES: 
As newly elected LACRALO vice-chair, one of the main results will be integration and networking with colleagues in the region through outreach and engagement activites. Outreach and engagement activites will be focus on 4 board member and 5 working groups chairs

I will need to foster spaces for interaction between LACRALO communities and myself to understand and promote knowledge and participation within the ICANN ecosystem and especially within LACRALO. Promoting the linking of 10 members

I will focus on development and execution of strategies to increase participation of newcomers linking of at least 10 new members

I will continue working on IDN and multilingualism working group, as well as Who is and GDPR working group by bi-monthly work meetings

10) Additional Information (optional):


I submit this request for to Attend the first face-to-face meeting of the extended board of LACRALO, in my capacity of LACRALO Vice-Chair and IDN and IDN and multilingualism working group co-chair, as well as Who is and GDPR working group chair.


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

Carlos Antonio Leal Saballos

15-Jan-2020

_______________________________________________________________
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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