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/Event Assessment form will be automatically associated with its related 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 Trip/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# |
| APPROVED | AF02 |
Trip/Event Assessments should be completed within three (3) weeks of the traveler's return date.
Trip/Event Assessment Form | |
|---|---|
1) Describe the Trip/Event in sufficient detail | A description of the event is attached (PDF): |
| 2) Explain the extent to which the Proposed Goals and Outcomes were accomplished (see above LINK to review the original Proposal): | See Q1 |
| 3) Additional information pertaining to this outreach Trip/Event (optional): | See Q1 |
| 4) Date Completed: | 16-Dec-2016 |
Acknowledgements Section
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| The Trip/Event Assessment information has been gathered and properly entered into this form. | Yes | Tijani BEN JEMAA | 21-Dec-2016 | AFRALO CROPP PPC |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip/Event Assessment. | Yes | Mohamed El Bashir | 21-Dec-2016 | AfRALO Vice Chair |
| The ICANN Stakeholder Engagement Vice-President has concurred that this Trip/Event Assessment satisfactorily reports the extent to which the goals/outcomes outlined in the original proposal have been achieved. | Yes | Pierre Dandjinou | 21-Apr-2017 | GSE ICANN Vice Chair for Africa |
| =============== | ========== | ============================== |
CROPP-FY17 Trip/Event Assessment Template (Jul 2016)
1 Comment
Daniel Khauka Nanghaka
This is a joint trip Assessment for AFRALO Team Outreach to AFRINIC 25 in Mauritius