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Trip Assessment Form

1) Describe how the original Purpose and Goals were accomplished:

Text data
name
namePURPOSE2
width600pxPURPOSE2

2) Describe how the original Outcomes were achieved:

 

Text data
nameOUTCOMES2
width600pxnameOUTCOMES2
3) Date Completed:
Date data
nameCOMPLETED
formatdd-MMM-yyyy
4) Additional information pertaining to this outreach event (optional):600px
Text data
width
nameINFO-EVAL
width600px
Panel
titleColornavy
titleBGColorlightyellow
titleCommunity Confirmation Section

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

AcknowledgementsConfirmed?NameDateNotes
The Trip Assessment information has been gathered and properly entered into this form.
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
width
Text data
300pxnameACKNOTES-1
width300px
contenttext
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Assessment.
List data
nameACK-2
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME-2
typeline
contenttext
Date data
nameACKDATE-2
formatdd-MMM-yyyy
300px
Text data
width
nameACKNOTES-2
width300px
contenttext
  =======================================================

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