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 Program Coordinator (PC) 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: CROP Staff.
Person Completing Form | |||
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Name: |
| Date: |
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Application Status | Assessment Due-Date |
21-Jul-2018 |
Trip Proposal Section | LINK TO TRIP ASSESSMENT : BC Trip Assessment 4 DRAFT | ||||||||||||||||||
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1) Number of Travelers: | 2 | ||||||||||||||||||
2) Traveler Contact Information and Itinerary:
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3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | Mark's Travel Itinerary: TBC Gabriela's Travel Itinerary: Wishes to travel overnight on 23 (arriving early morning on 24 June) and leave late at night on 26 June, in order to maximize time at the conference. DEPARTURE: night of 23 June 2018, to arrive early on 24 June. RETURN: 26 June 2018 - to return late at night DEPARTURE/RETURN LOCATION: Buenos Aires CROP HOTEL DATES (3 NIGHTS TOTAL): 24, 25, 26 June (hotel requested for night of 26 as Gabi wishes to depart at 11pm/midnight) CROP PER DIEM DATES (4 DAYS TOTAL): 23, 24, 25, 26, June | ||||||||||||||||||
4) Event/Conference Name, Title, or Descriptor: | ICANN62 | ||||||||||||||||||
5) Event/Conference Dates: |
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6) Event/Conference Website Link: | https://meetings.icann.org/en/panamacity62 | ||||||||||||||||||
7) Primary Event/Conference Location: |
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8) Indicate whether it is a regional trip OR an out-of-region trip. | Regional | ||||||||||||||||||
9) ICANN Global Stakeholder Engagement Region: | Latin America and Caribbean | ||||||||||||||||||
10) Activity Sponsors: | |||||||||||||||||||
11) Proposed Goals and Outcomes: Content Guidelines (click here) | |||||||||||||||||||
12) Additional Information (optional): | |||||||||||||||||||
_______________________________________________________________ |
Note: The first three elements below should be completed by a Program Coordinator (PC) 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 FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page. | Yes | Chantelle Doerksen | 01-May-2018 | Mark's Travel Itinerary: TBC Gabriela's Travel Itinerary: Wishes to travel overnight on 23 (arriving early morning on 24 June) and leave late at night on 26 June, in order to maximize time at the conference. As such, no hotel room is needed for the night of 23 June. DEPARTURE: night of 23 June 2018, to arrive early on 24 June. RETURN: 26 June 2018 - to return late at night DEPARTURE/RETURN LOCATION: Buenos Aires CROP HOTEL DATES (3 NIGHTS TOTAL): 24, 25, 26 June hotel requested for night of 26 as Gabi wishes to depart at 11pm/midnight) CROP PER DIEM DATES (4 DAYS TOTAL): 23, 24, 25, 26, June |
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Chantelle Doerksen | 01-May-2018 | per Claudia Selli, Chair |
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 CROP Staff Administrators confirm that this trip 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 Assessment |
CROP Trip Proposal Template (May 2017)