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Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:

 

Date:

now

Application
Status 
Assessment
Due-Date 
Form ID #

 

Trip Proposal Section

LINK: AFRALO Trip/Event Assessment 1

1) Number of Travelers:
(Note: Each traveler uses one trip of the five (5) allocated to each organization/structure).  

 

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date

 

 

 

 

 
 
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)

 

4) Event/Conference Name, Title, or Descriptor:

 

5) Event/Conference Dates:
Start:
 
End:
 
6) Event/Conference Website Link:

 

7) Primary Event/Conference Location:
Street
Address:

 

City:

 

Country:

 

8) ICANN Geographic Region:

 

 

 

 

 

 

 

 

9) Activity Sponsors:
(Note: all event sponsors must be identified
in order to comply with ICANN travel guidelines).


 

10) Proposed Goals and Outcomes:

 

11) Additional Information (optional):

 

======================================= 

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
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:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

 

 
 

 

 

 

 

 

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes

 

 

 

 

 
 
 
 

 

 

 

 

 

 

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal
 
Trip/Event Assessment
 


CROPP Trip Proposal Template v4 (Aug 2015)