Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. This Trip Assessment form will be automatically associated with its related Trip Proposal; therefore, no duplicate traveler identification information is required.
  4. The information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing the event.
  5. This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.
STAFF USE ONLY
Assessment
Status 
Form ID#
APPROVED

NA04

Trip/Event Assessments should be completed within three (3) weeks of the traveler's return date.

Trip/Event Assessment Form

LINK: NARALO Trip Proposal 4

1) Describe how the original Proposed Goals
and Outcomes were accomplished:

The goals of attending this conference were to outreach and engage with a new set of potential contributors to the ICANN.

  • Engaged and interacted with attendees specifically at topic sessions including; International mayors Round Table on Smart Cities, Finance innovation for salable global technology development, Regulation and private sector. From this able to gain direct contacts into 13 potential supporters of ICANN and the At-large mission. 

Distribute ICANN materials, recruit ALS's, and discuss ICANN resources for this community.

  • Able to distribute some materials (brochures & cards) provided by the At-large team.  Also, provided web information as well my personal information for additional questions. Additionally, I was able to walk the conference fair, engaging with companies that participated in this exhibit. 

2) Additional information pertaining
to this outreach event (optional):
3) Date Completed:26-Mar-2016
Community Confirmation Section

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
The Trip/Event Assessment information has been gathered and properly entered into this form.YesJudith Hellerstein05-Apr-2016
The ICANN Organization / Structure's leadership has authorized the submission of this Trip/Event Assessment.YesJudith Hellerstein05-Apr-2016
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CROPP Trip/Event Assessment Template v2 (Jun 2015)

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