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Section
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width70%
Info

Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. 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.
  4. This form may be edited/saved as many times as needed. When completed, please notify your Program Coordinator (PC) for further processing.
Note

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
Name:
Text data
namePERSON
typeline
contenttext
Date:
Date data
formatdd-MMM-yyyy
nameAPPDATE
Column
width30%
Panel
bgColorwhite
titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Text data
nameSTATUS
typeline

Trip Proposal Section

LINK TO TRIP ASSESSMENT:  NARALO Trip Assessment 5 DRAFT

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

Number data
minValue1
maxValue5
format###
nameTRIPS
width100px

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
minDate01-Jul-2017
formatdd-MMM-yyyy
nameDEPART
Date data
formatdd-MMM-yyyy
nameRETURN
maxDate30-Jun-2018
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text data
nameSPECIAL
width650px
contenttext
4) Event/Conference Name, Title, or Descriptor:
Text data
nameEVENT
contenttext
5) Event/Conference Dates:
Start:
Date data
formatdd-MMM-yyyy
nameSTART
End:
Date data
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 Global Stakeholder Engagement 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
valueEastern Europe and Central Asia

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


Text data
nameSPONSORS

10) Proposed Goals and Outcomes:

Content Guidelines (click here)

 


Text data
nameGOALS
11) Additional Information (optional):
Text data
nameADDTLINFO
_______________________________________________________________
 

 
Panel
titleColornavy
titleBGColorlightyellow
titleAcknowledgements Section

Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
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.
List data
nameACK1
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME1
typeline
contenttext
Date data
formatdd-MMM-yyyy
nameACKDATE1
Text data
nameACKNOTES1
width300px
contenttext
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
List data
nameACK2
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME2
typeline
contenttext
Date data
formatdd-MMM-yyyy
nameACKDATE2
Text data
nameACKNOTES2
width300px
contenttext
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.
List data
nameACK3
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME3
typeline
contenttext
Date data
formatdd-MMM-yyyy
nameACKDATE3
Text data
nameACKNOTES3
width300px
contenttext
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.
List data
nameACK4
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME4
typeline
contenttext
Date data
formatdd-MMM-yyyy
nameACKDATE4
Text data
nameACKNOTES4
width300px
contenttext
 


=======================================================
Panel
bgColorlightyellow
titleColormaroon
titleBGColorlightcyan
titleProgram Administration: STAFF USE ONLY

Approved Travel Elements:

Table data
nameTRAVELAPPROVAL
initialRows1
TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Text data
nameATRAVELER
typeline
contenttext
Date data
formatdd-MMM-yyyy
nameADEPART
Date data
formatdd-MMM-yyyy
nameARETURN
List data
multipletrue
nameFUNDED
typecheck
separatornewline
List option
sortValueA
valueAirfare
List option
sortValueB
valueHotel/Lodging
List option
sortValueC
valuePer Diem
List option
sortValueD
valueVisa
List option
sortValueE
valueRegistration

Staff Department Notifications:

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 Booking Initiated with Attendees
List option
sortValueF
valueTravel Booking Completed/Confirmed
List option
sortValueG
valueProgram Criteria Satisfied
List option
sortValueH
valueOther Disposition
Date data
formatdd-MMM-yyyy
nameSATISFIED
List data
nameINITIALS
width50px



List option
sortValueB
valueMW
List option
sortValueC
valueBR
List option
sortValueE
valueJDJ
List option
sortValueF
valueAL
List option
sortValueG
valueOS
Text data
nameNOTES
width300px
contenttext

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal
Date data
formatdd-MMM-yyyy
namePPOSTED
Trip Assessment
Date data
formatdd-MMM-yyyy
nameAPOSTED


CROP Trip Proposal Template (May 2017)