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: | Leah Symekher | Date: | 15-Aug-2016 |
Application Status | Assessment Due-Date | Form ID # |
COMPLETE | 12-Nov-2016 | NA04 |
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) | none | ||||||||||||
4) Event/Conference Name, Title, or Descriptor: | ARIN Conference | ||||||||||||
5) Event/Conference Dates: |
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6) Event/Conference Website Link: | http://www.cvent.com/events/arin-38-public-policy-and-members-meeting/event-summary-256b30d336654228bc33dfb2dd640037.aspx | ||||||||||||
7) Primary Event/Conference Location: |
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8) ICANN Global Stakeholder Engagement Region: | North America | ||||||||||||
9) Activity Sponsors: | Google is the only ARIN 38 event sponsor at the time of this application. | ||||||||||||
10) Proposed Goals and Outcomes: Content Guidelines (click here)
| Proposed Goals and Outcomes: In accordance with the current NARALO Outreach Strategy Plan and the MoU in place between NARALO and ARIN, attending the ARIN conference will meet the following goals and provide the following opportunities:
The outcome will include:
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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 | 15-Aug-2016 | August 15, 2016 |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Glenn McKnight | 01-Aug-2016 | |
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 | Judith Hellerstein | 17-Aug-2106 | As per email from Chris Mondini on August 18, 2016 to Judith Hellerstein & Glenn McKnight |
The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies. | Yes | Janice Douma Lange | 18-Aug-2016 | |
=============== | ========== | ============================== |
Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Leah Symekher | 19-Oct-2016 | 22-Oct-2016 | Airfare |
Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
Constituency Travel Notified | 18-Aug-2016 | JDL | http://www.cvent.com/events/arin-38-public-policy-and-members-meeting/event-summary-256b30d336654228bc33dfb2dd640037.aspx |
Travel Booking Initiated with Attendees | 16-Sep-2016 | Welcome Email Sent | |
Travel Booking Completed/Confirmed | 30-Sep-2016 | JDJ |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
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Trip Proposal | 18-Aug-2016 | Trip/Event Assessment | 09-Jan-2017 |
CROPP-FY17 Trip Proposal Template (Jul 2016)