FY17 ISPC Trip Assessment 4 DRAFT

Instructions:

Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
Travelers are asked to collaborate as a team in pulling together the appropriate information.
This Trip/Event Assessment form will be automatically associated with its related Proposal; therefore, no duplicate traveler identification information is required.
The information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing the Trip/Event.
This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.

STAFF USE ONLY

Assessment Status	Form ID#
	ISPC04

Trip/Event Assessments should be completed within three (3) weeks of the traveler's return date.

Trip/Event Assessment Form	LINK: FY17 ISPC Trip Proposal 4 DRAFT
1) Describe the Trip/Event in sufficient detail that an interested reader could understand Who, What, When, Where, and Why concerning this funded CROPP activity (please be as expansive as possible):
2) Explain the extent to which the Proposed Goals and Outcomes were accomplished (see above LINK to review the original Proposal):
3) Additional information pertaining to this outreach Trip/Event (optional):
4) Date Completed:

Acknowledgements Section

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

Acknowledgements	Name	Date	Notes
The Trip/Event Assessment information has been gathered and properly entered into this form.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip/Event Assessment.
The ICANN Stakeholder Engagement Vice-President has concurred that this Trip/Event Assessment satisfactorily reports the extent to which the goals/outcomes outlined in the original proposal have been achieved.
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CROPP-FY17 Trip/Event Assessment Template (Jul 2016)

Policy Programs and Community Operations