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Trip Proposals must be completed at least six (6) weeks before the event start date.
| Person Completing Form | |||
|---|---|---|---|
| Name: | Chantelle Doerksen | Date: | 17-Mar-2016 |
| Application Status | Assessment Due-Date | Form ID # |
| PENDING | 27-May-2016 | ISPC02 |
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) | |||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | LACNIC 25 | ||||||||||||
| 5) Event/Conference Dates: |
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| 6) Event/Conference Website Link: | http://www.lacnic.net/en/web/eventos/lacnic25 | ||||||||||||
| 7) Primary Event/Conference Location: |
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| 8) ICANN Geographic Region: | Latin America and Caribbean | ||||||||||||
9) Activity Sponsors: | |||||||||||||
10) Proposed Goals and Outcomes: | A strategic event for the ISPCP to get many Telcos and ISPs from the LAC region to come to the ICANN meetings in Puerto Rico during this year. | ||||||||||||
| 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 |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
|---|---|---|---|
| Trip Proposal | Trip/Event Assessment | ||
CROPP Trip Proposal Template v4 (Aug 2015)
