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 Pilot Program Coordinator (PPC) 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: CROPP Staff.
Person Completing Form | |||
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Name: | Judith Hellerstein | Date: | 20-Feb-2017 |
Application Status | Assessment Due-Date | Form ID # |
| 08-Jun-2017 | NA05 |
Trip Proposal Section | |||||||||||||
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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) | Flights from DCA to MSP and Hotel for 3 nights from May 15-May 18 at the conference location. Transportation needed from airport to hotel. Registration fees also needed. They have an early bird fee for Non Profits if paid for by April 6 of $130. After April 6 this fee goes up to $175. Conference reception is $25. | ||||||||||||
4) Event/Conference Name, Title, or Descriptor: | National Digital Inclusion Alliance | ||||||||||||
5) Event/Conference Dates: |
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6) Event/Conference Website Link: | https://digitalinclusion.org/netinclusion2017/ | ||||||||||||
7) Primary Event/Conference Location: |
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8) ICANN Global Stakeholder Engagement Region: | North America | ||||||||||||
9) Activity Sponsors: | Comcast & the Blandin Foundation | ||||||||||||
10) Proposed Goals and Outcomes: Content Guidelines (click here)
| One of the main Focus of NARALO is to reach out to areas of the country where we have no current ALSes and also to reach out and engage with groups who have historically been overlooked by ICANN and to try and engage with them and encourage them to learn about ICANN, NARALO. Our goal here is to increase their understanding and encourage them to get involved and advocate for their interests within ICANN. We also plan on educating them on how their organization can become an ALS, how we can help them amplify their voice and advocate for their members. We have a particular focus on low income, native american and other indigenous groups, and people with disability and specific needs. This conference focuses on these groups. A number of the groups we are most interested in engaging with are affiliates of the National Digital Inclusion Alliance and so hope to meet with them and educate them more about NARALO and ICANN.
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11) Additional Information (optional): | |||||||||||||
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Note: The first three elements below should be completed by a Pilot Program Coordinator (PPC) 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 FY17 Community Regional Outreach Pilot Program (CROPP) as outlined on the CROPP Procedures & Guidelines page. | Yes | Judith Hellerstein | 20-Feb-2017 | |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | |||
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 CROPP Staff Administrators confirm that this trip/event 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/Event Assessment |
CROPP-FY17 Trip Proposal Template (Jul 2016)