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#

 

IPC04

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

Trip/Event Assessment Form

LINK:  IPC Trip Proposal 4 DRAFT

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

 

2) Additional information pertaining
to this outreach event (optional):

 

3) Date Completed:
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.

The ICANN Organization / Structure's leadership has authorized the submission of this Trip/Event Assessment.

  =======================================================


CROPP Trip/Event Assessment Template v2 (Jun 2015)

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