FPA Australia Membership Application: Technical Advisory Committees

Membership Application

Technical Advisory Committees
PLEASE COMPLETE A SEPARATE APPLICATION FOR EACH COMMITTEE YOU WISH TO APPLY TO.

FPA Australia uses the information in this application to determine your qualifications and to assure that Technical Advisory Committee appointments are made in a way that ensures that committees will contain a fair balance of interests.
Please ensure all questions are answered and supporting documentation, where requested, is provided with this application.
Contact details
Full Name*
First name Last name
Position*
Company*
Does your company have any parent or subsidiary companies who are a member of FPA Australia and may already have representation on this Technical Advisory Committee? If yes, provide details below.
Address*
Mobile*
Please enter a valid phone number
Email*
example@example.com
FPA Australia membership details
Member No*
Please indicate the type of membership that you hold with the Association*

Technical Advisory Committee details
Technical Advisory Committee you want to apply for*
Note: Separate applications must be submitted for each TAC
Type of membership you seek*
If you seek an Alternate membership, indicate who you will be an alternate for
Explain why are you interested in applying for membership to the nominated committee*
Insert text up to 100 words for each of the following
List your experience and qualifications relating to the activities of the nominated committee*
Insert text up to 100 words for each of the following
Confirm your ability to actively engage in the committees work and attend all meetings*
Insert text up to 100 words for each of the following
Specify who will be responsible for funding your participation at meetings*
Insert text up to 100 words for each of the following
Specify your employment history*
Insert text up to 100 words for each of the following

Declaration
In completing this application:*
Full Name*
First name Last name
Signature*

Clear
Date*

DayMonthYear
Date

Confidentiality Agreement

Technical Advisory Committees and Special Interest Groups
Full Name*
First name Last name
Company*
Technical Advisory Committee or Special Interest Group membership*
What is confidential information?

Confidential information can include:
- Any material marked Confidential or Commercial in confidence
- Any information disclosed in confidence
- Any information which is not publicly available including:
  - The Technical Advisory Committee and Special Interest Group meeting minutes
  - All communications sent between FPA Australia and the Technical Advisory Committees and Special Interest Groups.
  - All communications sent by a member of a Technical Advisory Committee or Special Interest Group to other members or third parties.
Confidential information excludes:
- Information already in your possession and which was received by you or your company other than in breach of any confidentiality obligation owed to the FPA Australia
- Information which is independently acquired or developed by you without breach of any confidentiality obligations owed to the FPA Australia.
Terms of confidentiality agreement

During the term of your appointment to FPA Australia Technical Advisory Committee or Special Interest Group, you agree at all times and thereafter to
- hold in strictest confidence, and not to use or disclose to any person, organisation or firm without FPA Australia written authorisation of the:
  - Confidential information
  - Confidential information of prospective members of the FPA Australia, or related organisation.
- use confidential information solely for the purpose of performing your duties under the terms of appointment to the Technical Advisory Committee(s) and/or Special Interest Group(s)
- not at any time, without the consent in writing from FPA Australia, copy, take, extract or remove any confidential information from any of the premises or premises used for FPA Australia meetings.
Warrant and covenant

Your confidentiality obligation to FPA Australia is three years after your appointment to the Technical Advisory Committee or Special Interest Group has finished, except in respect of information that is part of your stock of general skill and knowledge.

You warrant and covenant that you will not:
- transmit, from any source, confidential information via the Internet or any other means of communications either electronically, verbally or written without permission from the FPA Australia
- disclose, during or after your appointment, any confidential information to any person, organisation or third party unless required to do so by FPA Australia or by law
- compile, record or memorise, during or after your appointment, customer names, suppliers or any persons FPA Australia deals with, other than as directed by or for the benefit of FPA Australia.
- use any confidential information to gain directly or indirectly any improper advantage to yourself, your company or to any other person
- use confidential information to disadvantage FPA Australia, its members or any other person.
Exceptions

You may share confidential information with the organisation you represent, or a third party provided it is in accordance with Warrant and covenant and retain all references to the confidential nature of that

Representation based on membership to FPA Australia Technical Advisory Committees or Special Interest Groups

If you are made a representative on or participate in a committee, working group or any other group outside of FPA Australia based on your membership to the Technical Advisory Committee and/or Special Interest Group, any confidential information you obtain through this representation is also subject to this confidentiality agreement except where any part of this agreement conflicts with the confidentiality conditions of that group.

Breaches of confidentiality

If a member discloses confidential information, their membership will be suspended while it is being reviewed.

While under suspension, the member will be removed from the distribution lists and any other communications from FPA Australia.

Upon review, the member may be reinstated, removed or subject to other measures as deemed appropriate.

Guests and observers

All parts of this agreement apply to guests and observers that attend Technical Advisory Committee or Special Interest Group meetings with the following replacements:
- All references to appointment replaced with attendance.
- All references to member replaced with attendee.
- All references to membership replaced with attendance.
Declaration
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Membership Application

Contact details

FPA Australia membership details

Technical Advisory Committee details

Declaration

Confidentiality Agreement

Declaration