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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
Name:
Text data
namePERSON
typeline
contenttext
requiredtrue
Date Submitted:

APPDATE
Date data
name
formatdd-MMM-yyyy
nameAPPDATE

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

 

Event Proposal Section

1) Which GNSO structure is submitting this request:

List data
nameGNSOC
List option
sortValueA
valueBC
List option
sortValueB
valueIPC
List option
sortValueC
valueISPC
List option
sortValueD
valueNCUC
List option
sortValueE
valueNPOC

2) Who will be the principal liaison assigned
to work with Communications:
Name:
Text data
nameLIAISON
width650px
nameLIAISON
typeline
contenttext
Email:width
Text data
650pxnameL-EMAIL
width650px
typeline
contenttext

 

 

3) Event Title or Descriptor:
Text data
nameEVENT
contenttext
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
nameSTART
formatdd-MMM-yyyy
nameSTART
End:
Date data
nameEND
formatdd-MMM-yyyy
nameEND
5) Primary Event/Conference Location:
Street
Address:
Text data
nameADDRESS
contenttext
City:
Text data
nameCITY
typeline
contenttext
Country:
Text data
nameCOUNTRY
typeline
contenttext
6) 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

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

Text data
nameGOALS
contenttext

 

 

8) 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 Engagement Event goals, dates, and other requirements have been negotiated with applicable ICANN Staff departments and approved as documented above.
List data
nameACK-1
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME-1
typeline
contenttext
name
Date data
ACKDATE-1formatdd-MMM-yyyy
nameACKDATE-1
width
Text data
300pxnameACKNOTES-1
width300px
contenttext
The ICANN Organization / Structure's leadership has authorized the submission of this Engagement Event Proposal.
List data
nameACK-2
List option
sortValueA
valueYes
List option
sortValueB
valueNo
Text data
nameACKNAME-2
typeline
contenttext
ACKDATE-2
Date data
name
formatdd-MMM-yyyy
nameACKDATE-2
width
Text data
300pxnameACKNOTES-2
width300px
contenttext
The ICANN Stakeholder Engagement Vice-President has concurred that the Goals/Outcomes of this Engagement Event 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
nameACKDATE-3
width
Text data
300pxnameACKNOTES-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
nameSATISFIED
List data
nameINITIALS
width50pxnameINITIALS
List option
sortValueA
valueJDL
List option
sortValueB
valueRH
List option
sortValueC
valueBR
List option
sortValueD
valueKB
Text data
nameNOTES
width300px
nameNOTES
contenttext
Event Proposal Confirmed and
Transferred to Approved Forms: 
Date data
nameP-POSTED
formatdd-MMM-yyyy
nameP-POSTED
Event Assessment Confirmed and
Transferred to Approved Forms: 
A-POSTED
Date data
name
formatdd-MMM-yyyy
nameA-POSTED

CROPP Outreach Engagement Event Template v2 (May 2015)