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:Klaus StollDate:

29-Apr-2015

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Form ID #
APPROVED

20-Jun-2015

NPOC03

Trip Proposal Section

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

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
Rudi Vansnickrudi.vansnick@gmail.comBrusselsBelgium27-May-201530-May-2015
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:WSIS Forum 2015
5) Event/Conference Dates:
Start:25-May-2015End:29-May-2015
6) Event/Conference Website Link:https://www.itu.int/net4/wsis/forum/2015/About/
7) Primary Event/Conference Location:
Street
Address:
International Telecommunication Union (ITU), Place des Nations, 1211 Geneva, Switzerland
City:GenevaCountry:Switzerland
8) ICANN Geographic Region:Europe

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


ITU, UNESCO

10) Purpose and Goals:

Participation in WSIS Forum 2015 and here in particular event: IANA Stewardship Transition - A live example of a multi-stakeholder process Thurday 28th of May . The WSIS Forum 2015 represents the world’s largest annual gathering of the ‘ICT for development’ community. The WSIS Forum, co-organized by ITU, UNESCO, UNDP and UNCTAD, in close collaboration with all WSIS Action Line Facilitators/Co-Facilitators (UNDESA, FAO, UNEP, WHO, UN Women, WIPO, WFP, ILO, WMO, UN, ITC, UPU, UNODC, UNICEF and UN Regional Commissions) has proven to be an efficient mechanism for coordination of multistakeholder implementation activities, information exchange, creation of knowledge, sharing of best practices and continues to provide assistance in developing multistakeholder and public/private partnerships to advance development goals. This forum will provide structured opportunities to network, learn and participate in multi-stakeholder discussions and consultations on WSIS implementation. ITU, UNESCO, UNCTAD and UNDP welcome all WSIS Stakeholders to the WSIS Forum 2015 to be held from 25–29 May 2015. This event builds upon the tradition of annual WSIS May meetings, and its format is the result of open consultations with all WSIS Stakeholders.

11) Proposed Outcomes:Networking, Capacity building and outreach. Supporting the ICANN multi stakeholder model and IANA transition
12) Additional Information (optional):

Sorry for the lateness of the request which is due to late announcement of the ICANN related event.

Community Confirmation Section

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

AcknowledgementsConfirmed?NameDateNotes
The participants identified in this application are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (CROPP)-FY15 and agree to abide by its terms and conditions.YesKlaus Stoll01-May-2015
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesKlaus Stoll01-May-2015
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.YesKlaus Stoll01-May-2015Klaus Stoll talked with Jean Jacques Sahel last Wednesday and he agreed with the proposal. Confirmed via JJS email on Friday, May 8 by RLH.
  =======================================================

 


 

Program Administration: STAFF USE ONLY
Program RequirementDate Satisfied/ConfirmedInitialsNotes
Constituency Travel Notified12-May-2015RH
Trip Proposal Approved and
Transferred to Official Forms: 
12-May-2015Trip Assessment Approved and
Transferred to Official Forms: 
08-Oct-2015


CROPP Application Template v8 (May 2014)

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