Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates. Other than the two required fields immediately below, you may complete any portion of this form, save, and return later to continue where you left off.
Trip Proposals must be completed at least six (6) weeks before the event start date.
| Person Completing Form | |||
|---|---|---|---|
| Name: | Glenn McKnight | Date: | 23-Feb-2016 |
| Application Status | Assessment Due-Date | Form ID # |
| APPROVED | 06-Jul-2016 | NA06 |
Trip Proposal Section | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1) Number of Travelers: | 1 | ||||||||||||
2) Traveler Contact Information and Itinerary:
| |||||||||||||
| 3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | none | ||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | M Enabling | ||||||||||||
| 5) Event/Conference Dates: |
| ||||||||||||
| 6) Event/Conference Website Link: |
Conference Fees $ 310( Onsite Registration) | ||||||||||||
| 7) Primary Event/Conference Location: |
| ||||||||||||
| 8) ICANN Geographic Region: | North America | ||||||||||||
9) Activity Sponsors: | http://m-enabling.com/2016sponsors.html
| ||||||||||||
10) Proposed Goals and Outcomes: | Outreach and engage potential ALS with a special onus on groups working with Persons with Disabilities | ||||||||||||
| 11) Additional Information (optional): | Registration fee $310 onsite registration | ||||||||||||
| ======================================= | |||||||||||||
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| 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. | Yes | Glenn McKnight | 22-Feb-2016 | Program abides to Strategic plan |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Allan Skuce | 29-Mar-2016 | Advised complete and approved. |
| 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. | Yes | Allan Skuce | 01-Apr-2016 | Approval has been received |
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
| Glenn McKnight | 12-Jun-2016 | 15-Jun-2016 | Airfare |
Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Constituency Travel Notified | 05-Apr-2016 | JDL |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
|---|---|---|---|
| Trip Proposal | 07-Apr-2016 | Trip/Event Assessment | 21-Jul-2016 |
CROPP Trip Proposal Template v4 (Aug 2015)
