2026 Professional Development Council Application

Professional Development Council Application

The Professional Development Council is appointed by the ICC Board of Directors in accordance with Council Policy CP#45-14. Please complete all questions, supply requested information and sign and date the application
Applicant Information
Name

First NameLast Name
Title
Jurisdiction/Company
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Linkedin URL
Entity Represented

Jurisdiction, Company, or Organization you represent. If none, indicate “Self”.
Representing
Main Contact
Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website

Committee Categories:

• Certification Committee [CC]
Individuals appointed to the Certification Committee shall be responsible for advising ICC staff and the Professional Development Council on all matters related to the Certification Program.

All members of the CC shall be prohibited from performing any training, teaching or curriculum/publication development activities during their term(s) of service and for a period of one (1) year after term expiration. CC members will be required to sign a confidentiality statement that attests to the members’ agreement to keep all examination material confidential, as well as a conflict of interest statement.

• Education Committee [EC]
Individuals appointed to the Education committee shall be responsible for advising ICC staff and the Professional Development Council on strategic matters related to ICC Education Program activities.

The Certification Committee (6 members) and Education Committee (6 members) will meet separately and together, as meeting items warrant, with the Board liaison and PDC Chair.
Committee Interest: Using the interest categories listed above, indicate the interest category that best relates to your representation.
Representation Type: Indicate if you will represent an entity (Organization) or yourself (Individual) on the PDC.
Provide assurance of active participation on the PDC. Will you be able to participate in the full work of the PDC such as attending PDC and CC/EC meetings and responding to correspondence?

Background and Experience
List previous Committee service, including ICC and other organizations in which you have served. Please include the name of the organization/committee as well as dates or years of service.
Describe specific work experience related to one or more elements of the PDC work.
State the education or other qualifications you offer towards the success of the PDC.
Attach resume or additional sheets as necessary below:
File Upload

Cancelof
Cancelof

Certifications and Licenses
List all credentials you hold
Additional Information
Provide any additional information as may be appropriate to assist in the evaluation of your application.

Considerable effort, devotion and work will be expected of each PDC member. PDC membership carries an obligation to participate actively in all work of the PDC, including the contribution and generation of information, prompt reply to draft reports and ballots, attendance and participation at PDC meetings, and prompt completion of assigned tasks.

I hereby agree 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 or employment. I agree to abide by the rules and policy of the International Code Council. I agree that ICC shall have nonexclusive, royalty-free license to use any material that I may provide to or develop for the PDC. I hereby grant ICC a nonexclusive, royalty-free license to all rights in copyright that I may have as an author of the materials produced by an ICC Committee. I attest that the information provided in this application for PDC membership is true and accurate.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Professional Development Council Application

Applicant Information

Entity Represented

Background and Experience

Attach resume or additional sheets as necessary below:

Certifications and Licenses

Additional Information