Instructions:
- Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
- Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
- Some information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing this proposal.
- This form may be edited/saved as many times as needed. When completed, please notify your Program Coordinator (PC) for further processing.
Trip Proposals must be approved within the Organization/Structure and Regional GSE Team at least six (6) weeks before the event start date.
Questions about this program should be directed to: CROP Staff.
Person Completing Form | |||
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Name: |
| Date: |
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Application Status | Assessment Due-Date |
20-Jul-2018 |
Trip Proposal Section | LINK TO TRIP ASSESSMENT : ISPC Trip Assessment 4 DRAFT | ||||||||||||
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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) | EVENT: ICANN62 LOCATION: Panama City, Panama DEPARTURE: 24 June 2018 RETURN: 27 June 2018 DEPARTURE/RETURN LOCATION: Aman, Jordan CROP HOTEL DATES (3 NIGHTS TOTAL): 24, 25, 26 June CROP PER DIEM DATES (4 DAYS TOTAL): 24, 25, 26, 27 June | ||||||||||||
4) Event/Conference Name, Title, or Descriptor: | ICANN62 | ||||||||||||
5) Event/Conference Dates: |
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6) Event/Conference Website Link: | https://meetings.icann.org/en/panamacity62 | ||||||||||||
7) Primary Event/Conference Location: |
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8) Indicate whether it is a regional trip OR an out-of-region trip. | Out-of-region | ||||||||||||
9) ICANN Global Stakeholder Engagement Region: | Latin America and Caribbean | ||||||||||||
10) Activity Sponsors: | |||||||||||||
11) Proposed Goals and Outcomes: Content Guidelines (click here) | forthcoming | ||||||||||||
12) Additional Information (optional): | |||||||||||||
_______________________________________________________________ |
Note: The first three elements below should be completed by a Program Coordinator (PC) 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 FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page. | Yes | Chantelle Doerksen | 24-Apr-2018 | EVENT: ICANN62 LOCATION: Panama City, Panama DEPARTURE: 24 June 2018 RETURN: 27 June 2018 DEPARTURE/RETURN LOCATION: Aman, Jordan CROP HOTEL DATES (3 NIGHTS TOTAL): 24, 25, 26 June CROP PER DIEM DATES (4 DAYS TOTAL): 24, 25, 26, 27 June |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Chantelle Doerksen | 24-Apr-2018 | Per Wolf-Ulrich, ISPCP Chairman |
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. | ||||
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | ||||
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Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
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Trip Proposal | Trip Assessment |
CROP Trip Proposal Template (May 2017)