Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.
Section
Column
width55%
Info

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.

Note

Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:
Text data
namePERSON
typeline
contenttext
requiredtrue
Date:

Date data
nameAPPDATE
formatdd-MMM-yyyy
nameAPPDATE
requiredtrue

Column
width45%
Panel
bgColorwhite
titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Form ID #
Text data
nameSTATUS
typeline
 

Status
colourBlue
titleNA06

Trip Proposal Section

1) Number of Travelers:
(Note: Each traveler uses one trip of the five (5) allocated to each organization/structure).  

Number data
minValue1
maxValue5
formatwidth###100px
nameTRIPS
widthformat100px###

2) Traveler Contact Information and Itinerary:

Table data
nameCONTACTINFO
initialRows1
TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
Text data
nameTRAVELER1
typeline
contenttext
Text data
nameT-EMAIL
typeline
Text data
nameFROM1
typeline
contenttext
Text data
nameFROM2
typeline
contenttext
Date data
nameDEPART
formatdd-MMM-yyyynameDEPART
Date data
nameRETURN
formatdd-MMM-yyyy
nameRETURN
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text data
width
width650px
nameSPECIAL
650pxcontenttext
4) Event/Conference Name, Title, or Descriptor:
Text data
nameEVENT
contenttext
5) Event/Conference Dates:
Start:
Date data
nameSTART
formatdd-MMM-yyyynameSTART
End:
Date data
nameEND
formatdd-MMM-yyyy
nameEND
6) Event/Conference Website Link:
Text data
nameLINK
7) Primary Event/Conference Location:
Street
Address:
Text data
nameADDRESS
contenttext
City:
Text data
nameCITY
typeline
contenttext
Country:
Text data
nameCOUNTRY
typeline
contenttext
8) ICANN Geographic Region:
List data
nameREGION
List option
sortValueA
valueAfrica
List option
sortValueB
valueAsia
List option
sortValueC
valueAustralasia/Pacific Islands
List option
sortValueD
valueEurope
List option
sortValueE
valueLatin America and Caribbean
List option
sortValueF
valueMiddle East
List option
sortValueG
valueNorth America
List option
sortValueH
valueRussia/CIS/Eastern Europe

9) Activity Sponsors:
(Note: all event sponsors must be identified
in order to comply with ICANN travel guidelines).


Text data
nameSPONSORS

10) Purpose and Goals:

Text data
namePURPOSE
contenttext

11) Proposed Outcomes:
Text data
nameOUTCOMES
contenttext
12) Additional Information (optional):

Text data
nameADDTLINFO

Panel
titleColornavy
titleBGColorlightyellow
titleCommunity Confirmation Section

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
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.
List data
nameACK-1
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME-1
typeline
contenttext
Date data
nameACKDATE-1
formatdd-MMM-yyyy
nameACKDATE-1
Text data
width
width300px
nameACKNOTES-1
300pxcontenttext
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
List data
nameACK-2
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME-2
typeline
contenttext
Date data
nameACKDATE-2
formatdd-MMM-yyyynameACKDATE-2
Text data
width300px
nameACKNOTES-2
width300px
contenttext
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.
List data
nameACK-3
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME-3
typeline
contenttext
Date data
name
nameACKDATE-3
formatdd-MMM-yyyyACKDATE-3
Text data
width
width300px
nameACKNOTES-3
300pxcontenttext
  =======================================================

...

Panel
bgColorlightyellow
titleColormaroon
titleBGColorlightcyan
titleProgram Administration: STAFF USE ONLY
Table data
nameREQUIREMENTS
initialRows1
Program RequirementDate Satisfied/ConfirmedInitialsNotes
List data
nameRQMT
List option
sortValueA
valueSpeakers Bureau
List option
sortValueB
valueCommunications Department
List option
sortValueC
valueMeetings Team
List option
sortValueD
valueConstituency Travel Notified
List option
sortValueE
valueTravel Booked
List option
sortValueF
valueProgram Criteria Satisfied
Date data
nameSATISFIED
formatdd-MMM-yyyy
nameSATISFIED
List data
width50px
nameINITIALSwidth50px
List option
sortValueA
valueJDL
List option
sortValueB
valueRH
Text data
width300px
nameNOTES
width300px
contenttext
Trip Proposal Approved and
Transferred to Official Forms: 
Date data
name
nameP-POSTED
formatdd-MMM-yyyyP-POSTED
Trip Assessment Approved and
Transferred to Official Forms: 
Date data
nameA-POSTED
formatdd-MMM-yyyynameA-POSTED


CROPP Application Template v8 (May 2014)