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: | BAUDOUIN SCHOMBE | Date: | 16-May-2016 |
Application Status | Assessment Due-Date | Form ID # |
PENDING | 01-Dec-2016 | AF01 |
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) | For participating at IGF 2016 | ||||||||||||
4) Event/Conference Name, Title, or Descriptor: | Internet Governance Forum (IFG) | ||||||||||||
5) Event/Conference Dates: |
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6) Event/Conference Website Link: | |||||||||||||
7) Primary Event/Conference Location: |
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8) ICANN Global Stakeholder Engagement Region: | Latin America and Caribbean | ||||||||||||
9) Activity Sponsors: | |||||||||||||
10) Proposed Goals and Outcomes: Content Guidelines (click here)
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11) Additional Information (optional): | Purpose of IGF: "The IGF facilitates a common understanding of how to maximize Internet opportunities and address risks and challenges that arise. The IGF is also a space that gives developing countries the same opportunity as wealthier nations to engage in the debate on Internet governance and to facilitate their participation in existing institutions and arrangements. Ultimately, the involvement of all stakeholders, from developed as well as developing countries, is necessary for the future development of the Internet." | ||||||||||||
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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. | ||||
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | ||||
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. | ||||
The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies. | ||||
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Approved Travel Elements:
Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Staff Department Notifications:
Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
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Trip Proposal | Trip/Event Assessment |
CROPP-FY17 Trip Proposal Template (Jul 2016)