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: | Dustin Loup | Date: | 14-Feb-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) | Would like a flight out on 4/26 and return on 4/29. Please book a room in the conference hotel, which is the Galt House Hotel | ||||||||||||
| 3) Event/Conference Name, Title, or Descriptor: | ARIN 45 | ||||||||||||
| 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: | North America | ||||||||||||
8) Activity Sponsors: | Currently the only listed sponsor is Charter Communications/Spectrum, but sponsorship are still open according to the event sponsorship page: http://www.cvent.com/events/arin-45-public-policy-and-members-meeting/custom-17-d3ebb4caba4143788735e724bd67e167.aspx | ||||||||||||
9) Proposed Goals and Outcomes: Content Guidelines (click here) | 1) I will bring relevant literature about NARALO and ICANN to distribute to interested parties. 2) Engagement Outreach - ARIN is an extremely valuable strategic partner for NARALO. In 2015 ARIN and NARALO entered into an MoU, focused on collaborative outreach and capacity-development opportunities. Additionally, since the regional overlap is between the two organizations is significant, ARIN meetings provide a great opportunity to raise awareness about NARALOs activities broadly in the North American Region. Additionally, this particular meeting is held in Kentucky, where there are is currently no involvement in NARALO. 3) Part of the outreach and engagement plan described above will focus on recruitment new members for NARALO, both in the form of organizational and individual members. 4) In part of NARALO's FY20 CROP Plan there was a gap analysis highlighting that within the US, ALSes only come from 7 states, with major gaps in the middle of the country. Since this meeting is held in Kentucky, there will be a higher likelihood of reaching individuals outside of the 7 states that currently have ALSes. 5) In addition to recruit members, it is also a part of the goal to raise awareness and the level of knowledge among stakeholder groups about ICANN and its processes. With years of experience and existing literature, I'm am well equipped to do so. | ||||||||||||
| 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. |
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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 |
|---|---|---|---|---|
| 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 Hellerstein | 16-Feb-2020 | |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Judith Hellerstein | 16-Feb-2020 | Eduardo Diaz as Chair and Judith Hellerstein As Secretary authorize it |
| 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. | ||||
| =============== | ========== | ============================== |
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)
