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Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. This Trip Assessment form will be automatically associated with its related Proposal; therefore, no duplicate traveler identification information is required.
  4. 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.
  5. This form may be edited/saved as many times as needed. When completed, please fill out the completion date in question no.4 on the form and notify your Program Coordinator (PC) for further processing.





Assessment
Status 


 




Trip Assessments should be completed within three (3) weeks of the traveler's return date.




Trip Assessment Form

LINK TO TRIP PROPOSAL: NCUC Trip Proposal 4

1) Describe the Trip in sufficient detail
that an interested reader could understand Who,
What, When, Where, and Why concerning this
funded CROP activity (please be as expansive
as possible):  


 


2) Explain the extent to which the Proposed
Goals and Outcomes were accomplished
(see above LINK to review the original Proposal):  


 


3) Additional information pertaining
to this outreach Trip (optional):


 


4) Please fill out the date when you have completed this form:


 



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

AcknowledgementsConfirmed?NameDateNotes
The Trip Assessment information has been gathered and properly entered into this form.



 


 




 



 



 


The ICANN Organization / Structure's leadership has authorized the submission of this Trip Assessment.



 


 




 



 



 


The ICANN Stakeholder Engagement Vice-President has concurred that this Trip Assessment satisfactorily reports the extent to which the goals/outcomes outlined in the original proposal have been achieved.



 


 




 



 



 


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CROP Trip Assessment Template (May 2017)