Open Call - Application for ICC Exam Development Committee

Application for ICC Exam Development Committee
PART l: General Information

Available ICC Exam Development Committees (EDCs)
- Openings for Full Positions
  - Accessibility
  - Certified Building Official / Certified Fire Marshal
  - Code Enforcement
  - Commerical Building
  - Commercial Fire Alarm
  - Electrical
  - Fire Services
  - Fire Sprinkler
  - IgCC
  - Mechanical
  - Permit Technician
  - Plumbing / Fuel Gas
  - Portable / Pre-Engineered Fire Extinguishing Systems
  - Property Maintenance and Housing / Zoning
  - Reinforced / Prestressed Concrete
  - Residential Building
  - Soils Special Inspector
  - Structural Masonry
  - Structural Steel and Welding
  - Sustainability
  - Tall Mass Timber
Please list your choice(s) below in order of preference:
First Choice
Second Choice
Third Choice
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employer
Title
Years of Employment
Jurisdiction Size
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PART II: Background and Experiences

Select all ICC Certifications/Combination Designations you currently hold:
Accessibility
IgCC
CBO/CFM
Property Maintenance & Housing/Zoning
Residential Building
Commercial Building
Plumbing
Fire Sprinkler
Mechanical
Commercial Fire Alarm EDC
Electrical
Portable/Pre-engineered
Sustainability
Fire Services
Permit Technician
Code Enforcement
Special Inspector
Tall Mass Timber
Structural Masonry
Reinforced/Prestressed Concrete
Structural Steel and Welding
Soils
Combination Designations
Degrees / Non-ICC Certifications
School / Location #1
Course of Study #1
Degree / Certification #1
Year of Completion #1
School / Location #2
Course of Study #2
Degree / Certification #2
Year of Completion #2
Committee Service
Organization #1
Committee #1
Service Dates #1
Organization #2
Committee #2
Service Dates #2
Employment History
Prior Employer
Title
Type of Work
Employment Dates
State the contributions, certifications or other qualifications you offer toward the success of the Committee in which you have an interest/certification in.
PART III: Acknowledgments

NOTE: Considerable time, effort, devotion, and hard work will be expected of each Exam Development Committee (EDC) member. EDC membership carries an obligation to actively participate in all work of the EDC including the contribution and generation of information, prompt reply to draft reports and ballots, attendance and participation at EDC meetings, and prompt completion of assigned tasks. For more information on the Exam Development Committee (EDC), please visit www.iccsafe.org/edc and click on the "EDC Member Snapshot" link. ICC expects EDC members to abide by the commitments listed therein.
Acknowledgement Agreements
Signature
Date

MonthDayYear
Date
Please send all resumes and CV's to accommittees@iccsafe.org
Should be Empty:

Application for ICC Exam Development Committee

Special Inspector

Combination Designations

Degrees / Non-ICC Certifications

Committee Service

Employment History