FY20 RALO Discretionary Funding Request Form to Support an Outreach Activity
Request forms are reviewed by Heidi Ullrich, VP for Policy and At-Large Relations & Silvia Vivanco, Senior Manager, At-Large Regional Affairs.

Please note the request:

- Should not include travel, lodging, creation of content, graphic design, printing of materials and paid social media campaigns (for which other support programs already exist);

- Funding cannot be used to reimburse a community group or individual member for work they perform themselves.
Email address *
Submission date (recommended at least three weeks before the date funding is required): *
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Name of designated RALO coordinator making request: *
Your answer
Amount requested (USD): *
Your answer
Date, timeline and deadline for request: *
Your answer
Description of request: *
Your answer
Request type: *
Payment, upon receipt of invoice, should be made to: *
Your answer
REPORTING REQUIREMENT
A brief report on the impact and outcomes of the outreach activity is required to process payment. This report will be posted on a public wiki. Please share detailed responses below.
How does the request align with the local RALO Outreach Plan? *
Your answer
How does the request meet the RALO Discretionary Funding Criteria? Please reference: https://community.icann.org/x/ZwpyB *
Your answer
How does the request align with ICANN’s mission, core values and commitments? *
Your answer
How, in your view, does this request support ICANN’s regional engagement strategy? *
Your answer
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