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 | |||
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Name: | Adrian Carballo | Date: | 15-Jan-2020 |
Application |
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Trip Proposal Section | |||||||||||||
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1) Traveler Contact Information and Itinerary:
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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: |
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5) Event/Conference Website Link: | |||||||||||||
6) Primary Event/Conference Location: |
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7) ICANN Global Stakeholder Engagement Region: | Latin America and Caribbean | ||||||||||||
8) Activity Sponsors: | 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 as President of LACRALO President Training GT
listen to the report of activities carried out by LACRALO WG
Support issues on capacity building and the development of the LACRALO 2020-2024 strategic plan OUTCOMES: As newly elected President of LACRALO, President, WG, one of the main results will be the integration | ||||||||||||
10) Additional Information (optional): | I submit this request to attend the first face-to-face meeting of the expanded LACRALO board, in my capacity as Chair Capacity Building WG. | ||||||||||||
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. |
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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 |
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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. | ||||
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Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Staff Name | Notes |
CROP Trip Proposal Template (June 2018)