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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
Outreach/Engagement Event Proposals must be completed at least eight (8) weeks before the event start date.

Person Completing Form:

Text data

name	PERSON
type	line
content	text
required	true

Date Submitted:

Date data

name	APPDATE
format	dd-MMM-yyyy

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width	45%

Panel

bgColor	white
titleColor	maroon
titleBGColor	lightcyan
title	STAFF USE ONLY

Event
Status 

Assessment
Due-Date 

Form ID #

Text data

name	STATUS
type	line

Event Proposal Section

1) Which GNSO structure is submitting this request:

List data

name	GNSOC

List option

sortValue	A
value	BC

List option

sortValue	B
value	IPC

List option

sortValue	C
value	ISPC

List option

sortValue	D
value	NCUC

List option

sortValue	E
value	NPOC

2) Who will be the principal liaison assigned
to work with Communications:

Name:

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width	650px
name	LIAISON
type	line
content	text

Email:

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width	650px
name	L-EMAIL
type	line
content	text

3) Event Title or Descriptor:

Text data

name	EVENT
content	text

4) Preferred Event Dates:
(Note: Due to the extensive Staff support and logistical planning associated with events, advanced scheduling and reservations may be required to ensure that (a) only one such event occurs at the same time, and (b) there are no overlaps with other scheduled events such as ICANN Public Meetings).

Start:

Date data

name	START
format	dd-MMM-yyyy

End:

Date data

name	END
format	dd-MMM-yyyy

5) Primary Event/Conference Location:

Street
Address:

Text data

name	ADDRESS
content	text

City:

Text data

name	CITY
type	line
content	text

Country:

Text data

name	COUNTRY
type	line
content	text

6) ICANN Geographic Region:

List data

name	REGION

List option

sortValue	A
value	Africa

List option

sortValue	B
value	Asia

List option

sortValue	C
value	Australasia/Pacific Islands

List option

sortValue	D
value	Europe

List option

sortValue	E
value	Latin America and Caribbean

List option

sortValue	F
value	Middle East

List option

sortValue	G
value	North America

List option

sortValue	H
value	Russia/CIS/Eastern Europe

7) Proposed Goals and Outcomes for this Event:
(Note: Please address linkages to the Outreach Strategic Plan).

Text data

name	GOALS
content	text

8) Additional Information (optional):

Text data

name	ADDTLINFO

...

Version	Old Version 1	New Version 2
Changes made by	Ken Bour	Ken Bour
Saved on	Aug 13, 2015	Aug 13, 2015

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Event Proposal Section