Instructions:
1. You must be logged in to the Community Wiki with a valid Username and Password in order to complete forms within CROP.
2. Your organization must first complete and get approval for the Outreach Strategic Plan before any CROP trip could be processed.
3. There are two CROP forms required for each Trip: a) a Trip Proposal; b) a Trip Assessment (must be complete within three (3) weeks of all travelers having returned from the event, no later than the assessment due date which is automatically calculated based on the trip return date).
4. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
5. To fill out the the form, click 
(top of the screen)
6. Answer each of the questions that appears within the form. Use the scroll bar (right) to reveal all contents. Click here to read the full instructions
IMPORTANT: This form must be completed by the traveler him/herself.
| Person Completing Form | |||
|---|---|---|---|
| Name: | Lawrence | Date: | 26-Apr-2019 |
Application |
IN PROGRESS |
Trip Proposal Section | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1) Traveler Contact Information and Itinerary:
| |||||||||||||
| 2) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | |||||||||||||
| 3) Event/Conference Name, Title, or Descriptor: | AFRICAN INTERNET SUMMIT' 2019
Kampala, Uganda, 9 to 21 June 2019.
The Africa Internet Summit (AIS) is an annual, regional, multi-stakeholder ICT conference. It is the pinnacle of educational and business ICT event in Africa where key players in the Internet industry can interact with the global Internet community. | ||||||||||||
| 4) Event/Conference Dates: |
| ||||||||||||
| 5) Event/Conference Website Link: | |||||||||||||
| 6) Primary Event/Conference Location: |
| ||||||||||||
| 7) ICANN Global Stakeholder Engagement Region: | Africa | ||||||||||||
8) Activity Sponsors: | NFT CONSULT ICANN INTERNET SOCIETY LARUS SEACOM ICANN BC MicroBoss | ||||||||||||
9) Proposed Goals and Outcomes: Content Guidelines (click here) | I will be manning a BC Stand at the ICANN Boot for 2 days during the conference, interacting with participants interested in the BC and would make available copies of the BC factsheets, media prints and ICAANN Infographics. Guests would be encouraged to drop their complimentary cards in a box at our stand to qualify for a prized gift from MicroBoss. Copies of these fore mentioned materials would also be placed at strategic points around the conference venue and distributed at other business sessions during the conference. My Proposed Outreach Outcome and Goals would see that: 1. This Outreach activity hopefully would result in at least 2 new membership applications from the African region after the Summit. 2. Businesses would be better informed about how to onboard into the BC and more awareness created locally about the BC and how businesses engage in the constituency. 3. The presence of the BC would allow for more visibility across the Continent amongst diverse stakeholders participating at the summit. It would be an opportunity to promote our values, mission and objectives, our stakes in the empowered community and crucial role in the overall stability, reliability and resiliency of the Internet 4. The issue of membership diversity is important for the BC and this outreach event will foster diversity within BC as new participants join our constituency to contribute to its diversity. | ||||||||||||
| 10) Additional Information (optional): | Working in conjunction with the ICANN Vice-President and his team, I intend to leverage on the ICANN African Day and the ICANN Special workshops to intimate the audience on the Business Constituency of ICANN and entertain questions from the audience. | ||||||||||||
11) Consent & Authorization: By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service. If you agree to text above, please fill out your name and date in the box on the right. |
| ||||||||||||
| _______________________________________________________________ | |||||||||||||
Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Who Confirmed? | Date of Confirmation | Notes |
|---|---|---|---|---|
| The participants identified in this application agree to abide by the terms and conditions of this FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page. | Yes | Lawrence Olawale-Roberts | 26-Apr-2019 | |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | BC Excomm | 26-Apr-2019 | |
| 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 | |||
| The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | Yes | |||
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
|
Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Staff Name | Notes |
CROP Trip Proposal Template (June 2018)
