APPLICATION FOR Governing Committee, Membership Council

APPLICATION FOR Governing Committee, Membership Council



Important: Complete all of the questions on this form, supply additional requested information, and sign and date the
application.

Fields marked with an * are required

Part I. General Information

1.Name of ICC Council(s) on which you would like to be a member

2.Applicant Information: Complete the following information on yourself.

3.Entity Represented: Complete the following information on the entity you represent (Jurisdiction, Company, Association, group, or yourself).

Part II. Background and Experience

Please attach a resume to support your application.

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Maximum file size 5MB.

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Part III. Additional Information

Provide any additional information as may be appropriate to assist in the evaluation of your application. (Attach additional sheets as necessary.)

File type should be jpg,jpeg,gif,png,pdf,doc,docx,xls,xlsx,rtf,txt.

Maximum file size 5MB.

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Part IV. Certification and Agreement

Considerable effort, devotion and hard work will be expected of each Committee member. Committee membership carries an obligation to participate actively in all work of the Committee including the contribution and generation of information, prompt reply to draft reports and ballots, attendance and participation at Committee meetings and prompt completion of assigned tasks. The undersigned hereby agrees to notify the International Code Council of a change in any of the information provided in this application including a change in the organization represented. The undersigned agrees to abide by the rules and policy of the International Code Council. The undersigned attests that the information provided in this application for Committee Membership is true and accurate.
The undersigned hereby agrees that his or her authorship contributions to ICC in connection with work performed as a member of an ICC committee are considered to be works made for hire for ICC. To the extent that the undersigned retains any rights in copyright as to such authorship contributions, the undersigned hereby grants and assigns to ICC all such rights. The undersigned understands that he or she will have no rights in any ICC 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 typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

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