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 | |||
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Name: | Chantelle Doerksen | Date: | 15-Apr-2016 |
Application Status | Assessment Due-Date | Form ID # |
APPROVED | 02-Jul-2016 | ISPC04 |
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) | Fiona Asonga (ISPCP Member) will also attend, but is funded through her organization. | ||||||||||||
4) Event/Conference Name, Title, or Descriptor: | Africa Internet Summit (AFRINIC-24) | ||||||||||||
5) Event/Conference Dates: |
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6) Event/Conference Website Link: | https://internetsummitafrica.org | ||||||||||||
7) Primary Event/Conference Location: |
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8) ICANN Geographic Region: | Africa | ||||||||||||
9) Activity Sponsors: | List of complete sponsors for AIS'16 currently not available on-line; these were the sponsors from AIS'15. | ||||||||||||
10) Proposed Goals and Outcomes: | The participants include ISPs, Network and Connectivity providers to whom we can reach out to attend the ICANN Meetings and participate in the ISPCP Constituency. On Saturday 4th June there is the ICANN Day and we can request the ICANN Team to give us an opportunity to present on what ISPCP is doing at ICANN. | ||||||||||||
11) Additional Information (optional): | Fiona Asonga will also attend using her organization's support. | ||||||||||||
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Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
Acknowledgements | Confirmed? | Name | Date | Notes |
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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. | Yes | Chantelle Doerksen | 15-Apr-2016 | Per Christian Dawson (ISPCP CROPP Coordinator) and ISPCP Leadership |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Chantelle Doerksen | 15-Apr-2016 | Per Christian Dawson (ISPCP CROPP Coordinator) and ISPCP Leadership |
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. | Yes | Benedetta Rossi | 18-Apr-2016 | Approved as per Pierre Dandjinou |
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Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Leonard Obonyo | 03-Jun-2016 | 05-Jun-2016 | Airfare |
Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
Constituency Travel Notified | 18-Apr-2016 | BR |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
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Trip Proposal | 19-Apr-2016 | Trip/Event Assessment | 01-Sep-2016 |
CROPP Trip Proposal Template v4 (Aug 2015)