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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
nameTRIPS
width100px
nameTRIPS
format###

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-yyyy
Date data
nameRETURN
formatdd-MMM-yyyy
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text data
nameSPECIAL
width650px
nameSPECIAL
contenttext
4) Event/Conference Name, Title, or Descriptor:
Text data
nameEVENT
contenttext
5) Event/Conference Dates:
Start:
Date data
nameSTART
formatdd-MMM-yyyy
End:
Date data
nameEND
formatdd-MMM-yyyy
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
300px
Text data
width
nameACKNOTES-1
width300px
contenttext
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-yyyy
300px
Text data
width
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
nameACKDATE-3
formatdd-MMM-yyyy
300px
Text data
width
nameACKNOTES-3
width300px
contenttext
  =======================================================

...

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
List data
width50px
nameINITIALS
List option
sortValueA
valueJDL
List option
sortValueB
valueRH
Text data
width300px
nameNOTES
contenttext
Trip Proposal Approved and
Transferred to Official Forms: 
Date data
nameP-POSTED
formatdd-MMM-yyyy
Trip Assessment Approved and
Transferred to Official Forms: 
Date data
nameA-POSTED
formatdd-MMM-yyyy


CROPP Application Template v8 (May 2014)