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Trip Proposals must be completed at least six (6) weeks before the event start date.
| Person Completing Form: | Jose Ovidio SALGUEIRO | Date: | 08-May-2015 |
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| Application Status | Assessment Due-Date | Form ID # |
| PENDING | 17-Jul-2015 | LAC04 |
Trip Proposal Section | |||||||||||||
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1) Number of Travelers: | 1 | ||||||||||||
2) Traveler Contact Information and Itinerary:
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| 3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | I´ll pay my own expenses for the days not covered by ICANN | ||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | ICANN 53 | ||||||||||||
| 5) Event/Conference Dates: |
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| 6) Event/Conference Website Link: | https://buenosaires53.icann.org/en/ | ||||||||||||
| 7) Primary Event/Conference Location: |
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| 8) ICANN Geographic Region: | Latin America and Caribbean | ||||||||||||
9) Activity Sponsors: | CROPP Program | ||||||||||||
10) Purpose and Goals: | Learn more about current ICANN an RALO activities in order to perform better outreach in my country through my ALS´s activities Join an At-Large Working Group Collaborate with the Chair and Secretary in meetings Any other that may arise from the region´s needs | ||||||||||||
| 11) Proposed Outcomes: | Becoming involved once again in At-Large and attending and participating in RALO monthly calls. Getting prepared for outreach activities; talking about ICANN and LACRALO in events where my ALS in participating; attracting new community members to our ALS; Increment participation of fellow countrymen in LACRALO | ||||||||||||
| 12) Additional Information (optional): | |||||||||||||
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| The participants identified in this application are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (CROPP)-FY15 and agree to abide by its terms and conditions. | Yes | Dev Anand Teelucksingh | 18-May-2015 | |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Dev Anand Teelucksingh | 18-May-2015 | |
| The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies. | Yes | Dev Anand Teelucksingh | 18-May-2015 | |
| =============== | ========== | ============================== |
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Trip Proposal Approved and Transferred to Official Forms: | Trip Assessment Approved and Transferred to Official Forms: |
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CROPP Application Template v8 (May 2014)
