NPOC Trip Assessment 3 DRAFT

Instructions:

Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
Travelers are asked to collaborate as a team in pulling together the appropriate information.
This Trip Assessment form will be automatically associated with its related Trip Proposal; therefore, no duplicate traveler identification information is required.
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.
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#
	NPOC03

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

Trip Assessment Form
1) Describe how the original Purpose and Goals were accomplished:	Goal of my participation in the WSIS Forum where: Get updated on the WSIS process, especially the report on the past 10 years Exchange knowledge with other participants from the civil society Engagement with people and organizations relevant to ICANN multistakeholder IG process in general and in NPOC specifically Create awareness about the importance of collaboration and participation of NGO's in the ICANN policy work
2) Describe how the original Outcomes were achieved:	My participation in the WSIS meetings covered following : Thursday 28th May 2015 1. High level Dialogue Empowering Women to Innovate Through Technologies 2. E-Business and the SDGs: The way forward by UNCTAD, ITC & UPU 3. Building Trust – The technical Challenges, ITU and Partners 4. IANA Stewardship Transition - A Live Example of a Multistakeholder Process. – Friday 29th May 2015 1. The Role of Broadcasters in the Digital Era 2. Implementing WSIS OUTCOMES: A Ten Year Review, CSTD Secretariat and UNCTAD General Observations:
3) Date Completed:
*4) Additional information pertaining to this outreach event (optional):*

Community Confirmation Section

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

Acknowledgements	Name	Date	Notes
The Trip Assessment information has been gathered and properly entered into this form.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Assessment.
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CROPP Trip Assessment Template v1 (May 2014)

Trip Assessment Form