PHTA-13 Standard Writing Committee (SWC) Member Application

PHTA-13 Standard Writing Committee (SWC) Member Application

Personal Information
Use this form to apply for committee membership on the PHTA-13 Standard Writing Committee (SWC). This SWC will address the next revision of ANSI/APSP/ICC-13 2017 American National Standard for Water Conservation Efficiency in Residential and Public Pools, Spas, Portable Spas and Swim Spas.

Notes:
- Uploading your resume at the end of this application is a required field. If you do not have a resume, please contact us - Reach out to the PHTA-13 Staff Liaison, April Nowicki, at anowicki@phta.org
- Once appointed, SWC members are responsible for attending meetings. You must not miss two consecutive meetings unless excused by the Chair.
- Read the SWC Operating Guidelines here.
Name of Applicant*

PrefixFirst NameMiddle NameLast NameSuffix
Name

First NameLast Name
E-mail of Applicant*
Office Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
Address of Applicant*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Title
Organization*
Years with organization
Are you affiliated with any other parent, subsidiary, or other organizations?*

YesNo
If yes, please indicate all affiliated organizations:
What type of member are you applying to be?

Voting MemberVoting Alternate (A company or organization gets one vote. Select this option if you intend to participate and/or vote on behalf of a Voting Member colleague who is affiliated with the same organization as you.)Non-Voting Government Member
Please enter the name of the Voting Member you are applying to be an Alternate for:
I am interested in serving as:

Chair of the committeeVice Chair of the committee
I am/work for a:

Builder or InstallerPool OperatorManufacturerRetailerService/Maintenance TechnicianConsultantPublic/AHJ/Code OfficialRegistered Design Professional/Engineering FirmRemodeling/Renovation SpecialistTesting LaboratoryStart-upLeak Detection SpecialistCertifying BodyPool User/Consumer/General PublicWater Supplier/Authority/UtilityWater Conservation AuthorityEnvironmental Advocacy GroupOther (Specify)Other
(Manufacturer) Type (choose all that apply):

Water Quality ChemicalsEquipmentPool/SpaOther
(Consultant) I work (choose all that apply):

For myselfFor an entityOther
(Public Regulator/Code Official) Type (choose all that apply):

BuildingHealthOther
My areas of expertise include:

Remodeling/RenovationsService/MaintenanceCode ComplianceRepairing Interior SurfacesWaterproofingBuildingStructural Engineering/Pool DesignPool DesignChemical ManufacturingLeak Detection/PreventionFiltrationWater Quality MaintenanceEvaporation ReductionTDS Control/ReductionAutomatic Water Level SystemsOther
What type of clients do you consult ?
Select type of Registered Design Professional:

ArchitectProfessional EngineerOther
Enter entity you are a consultant for:
Please specify "Other"
Are you a member of PHTA? (Not required for committee membership.)

YesNoDon't Know
Are you currently or have you previously been a member of a PHTA Standard Writing Committee?

YesNo
List Committee(s) Served On
My authority:

I represent myselfI work for an entity, but only represent myselfI represent an entity that will influence, review, and/or approve my votes/commentsOther
Please specify authority:
Description of your job function in or for the entity you represent
What is your personal experience with the ANSI/APSP/ICC/NPC-13 2017 Standard (select all that apply)

I apply the standard to my work.I supervise others who use the standard.I use the standard to ensure compliance with codes and other specifications.I use the standard to install or inspect plastering components.I don’t have direct personal experience.Other
Specify other experience
Standards/Codes Utilized in Your Work
What is your motivation to serve on a PHTA Standard Writing Committee (SWC)?

PHTA-13 Standard Writing Committee (SWC) Member Application

Submit Application
I agree that the information herein is true and correct*

Yes
By signing this agreement, you grant PHTA all and full rights in copyright for any proposed language or information that you provide the committee and understand that you have no rights in any publication of PHTA that uses this information in any form. You also agree to abide by the PHTA Antitrust Policy, Volunteer Code of Conduct, and Conflict of Interest Policy, and the operating guidelines of all committees you serve under. You may sign with your mouse cursor or via a touchscreen (on appropriate devices).
You may sign with your mouse cursor or via a touchscreen (on appropriate devices).

Clear
Please contact standards@phta.org with any questions. Thank you for your interest.
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