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: | Brian J. Winterfeldt | Date: | 02-Sep-2014 |
|---|
| Application Status | Assessment Due-Date | Form ID # |
| APPROVED | 07-Nov-2014 | IPC01 |
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) | *Ms. McGowan has confirmed that she will be responsible for her additional hotel and per diem charges during ICANN 51. | |||||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | ICANN 51 | |||||||||||||||
| 5) Event/Conference Dates: |
| |||||||||||||||
| 6) Event/Conference Website Link: | http://la51.icann.org/en/ | |||||||||||||||
| 7) Primary Event/Conference Location: |
| |||||||||||||||
| 8) ICANN Geographic Region: | North America | |||||||||||||||
9) Activity Sponsors: |
| |||||||||||||||
10) Purpose and Goals: | Increased representation of Intellectual Property interests at ICANN 51 and outreach to potential new IPC members in the ICANN North American region. | |||||||||||||||
| 11) Proposed Outcomes: | Participation in IPC initiatives during ICANN 51 and attendance at IPC and CSG meetings during Constituency Day. Overall attendance and participation in additional sessions of interest during ICANN 51. | |||||||||||||||
| 12) Additional Information (optional): | *Ms. McGowan has confirmed that she will be responsible for her additional hotel and per diem charges during ICANN 51. **Timely confirmation is pending from the ICANN Stakeholder Engagement Vice-President "that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies." | |||||||||||||||
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 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. | Yes | Brian J. Winterfeldt | 03-Sep-2014 | Ms. McGowan has confirmed familiarity with the CROPP Program Operations and agreed to abide by its terms and conditions. |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Brian J. Winterfeldt | 03-Sep-2014 | IPC leadership has approved this trip proposal. Approval via formal email to ICANN is forthcoming. Note From RobH -- Followed-up with PPC on 10 Sept seeking formal email. Pending expected receipt of that confirmation I am proceeding with formal application submission on 11 Sept and subsequent notification to Constituency Travel [RH]. |
| The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies. | Yes | Robert Hoggarth | 09-Sep-2014 | Email received from VP-NorthAmerica |
| =============== | ========== | ============================== |
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Constituency Travel Notified | 11-Sep-2014 | RH |
| Trip Proposal Approved and Transferred to Official Forms: | 11-Sep-2014 | Trip Assessment Approved and Transferred to Official Forms: |
|---|
CROPP Application Template v8 (May 2014)
