1. QUALIFICATIONS OF APPLICANT
a. Attach separate statement resumé providing evidence of your general knowledge and competence in the scope (work) of the Task Group.
b. What is your specific relationship to one or more elements of the scope of the Task Group?
c. Will you be able to actively participate in the work of the Task Group including responding to correspondence and attending Task Group meetings?
Indicate below the name of the entity you would be representing and include written authorization from that entity authorizing you to be their representative:
3. FUNDING SOURCE(S) FOR YOUR PARTICIPATION
a. What person(s) or organization(s) would fund your participation as a Task Group member, either in whole or in part? (You should list your employer if your participation is funded by your employer or if your participation is part of your employment responsibilities or otherwise related to your employment.)
b. Background and description of your employer and/or other person(s) or organization(s) funding participation:
Languages, other than English:
COMPLETE A SEPARATE APPLICATION FORM FOR EACH TASK GROUP ON WHICH YOU DESIRE TO SERVE. IN ORDER TO
ASSURE THE PROMPT PROCESSING OF YOUR REQUEST, PLEASE BE SURE TO COMPLETE ALL QUESTIONS AND SIGN
(a) Manufacturer. A representative of a maker or marketer of a product, assembly or system, or portion thereof, that is affected by the Document.
(b) User. A representative of an entity that is subject to the provisions of the Document or that voluntarily uses the Document.
(c) Installer/Maintainer. A representative of an entity that is in the business of installing or maintaining a product, assembly, or system affected by the Document.
(d) Labor. A labor representative or employee concerned with safety in the workplace within the scope of the Document.
(e) Research/Standards/Testing Laboratory. A representative of an independent research organization; an organization that develops codes, standards and other similar documents; or an independent testing laboratory.
(f) Enforcing Authority. A representative of an agency or an organization that promulgates or enforces the Document.
(g) Consumer. A person who is or represents the ultimate purchaser of a product, system or service affected by the Document but who is not a User.
(h) Special Expert. A person not representing the above categories and who has special expertise in the scope of the Document or portion thereof.
Considerable effort, devotion and hard work will be expected of each Task Group member. Task Group membership carries an obligation to participate actively in all work of the Task Group
including the contribution and generation of information, prompt reply to draft reports and ballots, attendance and participation at Task Group meetings and prompt completion of assigned
tasks. The undersigned hereby agrees to notify the International Association of Plumbing and Mechanical Officials of a change in any of the information provided in this application
including a change in the organization represented, source of funding or employment. The undersigned agrees to abide by the rules and policy of the International Association of Plumbing and Mechanical Officials.
The undersigned attests that the information provided in this application for Task Group membership is true and accurate.
The undersigned hereby agrees that his or her authorship contributions to IAPMO in connection with work performed as a member of an IAPMO task group are considered to be works made for hire for
IAPMO. To the extent that the undersigned retains any rights in copyright as to such authorship contributions, the undersigned hereby grants and assigns to IAPMO all such rights. The
undersigned understands that he or she will have no rights in any IAPMO publications that use such contributions by the undersigned and certifies to the best of his or her knowledge that such
contributions are not protected by the copyright of any other person or entity.
By signing below, I attest to my ability to communicate with IAPMO staff and the members of the
Task Group through electronic means, namely via e-mail and the internet.
Date: 9/16/2019 12:00:00 AM
Your typed name above constitutes your electronic signature.