IAPMO

IAPMO Standards Committee Membership Application

IAPMO uses the information in this application to determine your qualifications and to assure that IAPMO Standards Committee appointments are made in a way that ensures that committees will contain a fair balance of interests. Instructions for completing this form: Read each section carefully before completing. Tab through to get to a new section of the form. Fill in the form completely. DO NOT LEAVE BLANK SPACES. If a section does not apply to you, indicate "N/A" (not applicable) or, if you need more room than is allowed, you may attach a separate sheet of explanation as a "Word" document or in PDF format. If you are applying as a representative to an organization, you will need to supply a letter of authorization. It must be submitted on the organization’s letterhead and signed by an officer of the organization. The following is a SAMPLE of suggested wording for the authorization letter. SAMPLE: We, (organization’s name), authorize (your name) as our representative to serve on the technical committee. We will support (your name) for his/her time and travel expenses during his/her service as a member of the technical committee. Review the form for accuracy before submitting to IAPMO. Please contact IAPMO by phone at 800-854-2766, or by e-mail at StandardDevelopment@iapmo.org if you have any questions about this form.
Name
Title
Employer
Mailing Address
UPS or Other Mailing Address
City
State/Province
Zip
Telephone
Fax
Email

The committee for which you are applying.

Plumbing Standards Committee (PSC)

ISO 30500 National Adoption Committee

Building Standards Committee

Solar Standards Committee

Hydronic Standards Committee

Water Demand Calculator Committee

Please indicate the interest category which you believe best suits your qualifications:

Manufacturer

User

Installer/Maintainer

Research/Standards/Testing Laboratory

Enforcing Authority

Consumer

General Interest

Member category:

Principal member

Alternate member If Alternate, to whom

Non-voting member

1. QUALIFICATIONS OF APPLICANT
a. Attach separate statement resumé providing evidence of your general knowledge and competence in the scope (work) of the committee.

b. What is your specific relationship to one or more elements of the scope of the committee?

c. Will you be able to actively participate in the work of the committee including responding to correspondence and attending committee meetings?

2. REPRESENTATION
a. Indicate below the name of the entity you would be representing and include written authorization from that entity authorizing you to be their representative:

b. Does the organization you would represent have a mechanism for instructing votes? If so, can the time constraints imposed by the Policies and Procedures IAPMO PP-1 and/or IAPMO PP-2 be met?

3. FUNDING SOURCE(S) FOR YOUR PARTICIPATION
a. What person(s) or organization(s) would fund your participation as a committee 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:

4. ADDITIONAL COMMENTS

Languages, other than English:

COMPLETE A SEPARATE APPLICATION FORM FOR EACH COMMITTEE 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 THIS APPLICATION.

INTEREST CATEGORIES

(a) Manufacturer: a representative of a maker or marketer of a product, assembly or system, or portion thereof, that is affected by the standard (e.g., manufactures of particular products and association of manufacturers).

(b) User: a representative of an entity that is subject to the provisions of the standard or that voluntarily uses the standard (e.g., educator, skill‐trade trainer, skill trades person and academia).

(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 standard (e.g., contractors, subcontractor, and construction labor organization).

(d) Research/Standards/Testing Laboratory: a representative of an independent research organization; an organization that develops codes, standards or other similar documents; or an independent testing laboratory (e.g., code development organizations, certification agency, testing laboratory).

(e) Enforcing Authority: a representative or an agency or an organization that promulgates and/or enforces standards (e.g., regulatory agency, inspectors and enforcers).

(f) Consumer: a person who is, or represents, the ultimate purchaser of a product, system, or service (e.g., end user of a product and distributor).

(g) General Interest: A person or organization interested in the products or standard addressed by the Committee, who is qualified to serve on the committee, and who does not fall under the other categories (e.g., consultants, special experts, or engineers).

Note: Individuals retained as consultants under an indefinitely continuing agreement with an organization shall be categorized in accordance with the category of the retaining organization.

If appointed, I agree to abide by the rules and guidelines of IAPMO. In addition, I hereby agree to notify IAPMO of a change in status, including change of employment, organization represented, or funding source. I also agree that IAPMO shall have, and I hereby grant, all and full rights in copyright in any material that I author, either individually or with others, as a member of this committee, or that I submit for the proposed use of the committee in an IAPMO code or standard or other IAPMO document. I further acknowledge that I acquire no rights in any publication of IAPMO and that copyright and all rights in all materials produced by IAPMO technical committees are owned by IAPMO and that IAPMO may register copyright in its own name.

I do not now hold and I do not intend to hold any patent, the use of which would be required for compliance
with any material that I author – either individually or with others – as a member of this committee, or that I
submit for the proposed use of the committee in an IAPMO code or standard or other IAPMO document.

I attest that all of the information on this application is true and accurate.

By signing below, I attest to my ability to communicate with IAPMO staff and the members of the Technical Committee through electronic means, namely via e-mail and the internet.

Date: 2025-01-24

Signature

Your typed name above constitutes your electronic signature.

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