NPOC Trip Proposal 3

Trip Proposal Section

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

Traveler

Email

From
City

From
Country

Depart Date

Return Date

2) Special Travel Circumstances, Arrangements,
Explanations, or Notations:
(Please identify each traveler, as applicable)

3) Event/Conference Name, Title, or Descriptor:

4) Event/Conference Dates:

Start:

End:

5) Event/Conference Website Link:

6) Primary Event/Conference Location:

Street Address:
City:		Country:

7) ICANN Global Stakeholder Engagement Region:

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

9) Proposed Goals and Outcomes:

Content Guidelines (click here)

10) Additional Information (optional):

11) Consent & Authorization:

By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service.

If you agree to text above, please fill out your name and date in the box on the right.

Name

Date

_______________________________________________________________

CROP Trip Proposal Template (June 2018)