Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates. Other than the two required fields immediately below, you may complete any portion of this form, save, and return later to continue where you left off.
Trip Proposals must be completed at least six (6) weeks before the event start date.
| Person Completing Form: | Daniel K. Nanghaka | Date: | 11-Dec-2015 |
|---|
| Application Status | Assessment Due-Date | Form ID # |
01-Jan-2016 | AF03 |
Trip Proposal Section | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1) Number of Travelers: | 1 | ||||||||||||
2) Traveler Contact Information and Itinerary:
| |||||||||||||
| 3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | Travel to Marrackech to participate in the ICANN55 Meeting | ||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | ICANN55 Marrakech, Morocco | ||||||||||||
| 5) Event/Conference Dates: |
| ||||||||||||
| 6) Event/Conference Website Link: | https://meetings.icann.org/en/marrakech55 | ||||||||||||
| 7) Primary Event/Conference Location: |
| ||||||||||||
| 8) ICANN Geographic Region: | Africa | ||||||||||||
9) Activity Sponsors: | ICANN | ||||||||||||
10) Proposed Goals and Outcomes: | - To participate in the AFRALO Showcase as part of the Showcase organizing committee - To get involved on the dedicated day of Outreach and Engagement - To reach out and engage to the participants from different Geographical locations in the region and discuss potential involvement in setting up ALSes and try to get them involved to participate in all ICANN work. - Outreach and training opportunity for local ALSes with AFRALO leaders - especially with regards to contribution to policy development (working group engagement) | ||||||||||||
| 11) 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 agree to abide by the terms and conditions of this FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page. | ||||
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | ||||
| 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. | ||||
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
|
Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Trip Proposal Confirmed and Transferred to Approved Forms: | Trip/Event Assessment Confirmed and Transferred to Approved Forms: |
|---|
CROPP Trip Proposal Template v4 (Aug 2015)
