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TAC Member Recruitment - Application Form

Thank you for your interest in applying to become a Technology Advisory Committee member.

Some things before you get started: This application form will ask you for contact information, employment and education history, as well as your perspectives on key industry issues. Please allow yourself approximately 30-45 minutes to complete this application form. You are able to save your application form and return to it by clicking on the "Save and continue later" button on the bottom of the page.

Eligibility: Please note that employees of Technical Safety BC, elected public officials, or representatives of any union representing employees of Technical Safety BC (e.g., BCGEU) are ineligible to serve on a Technology Advisory Committee.

1. Which advisory committee are you applying to become a member of? *This question is required.

2. What position are you applying for? *This question is required.

3. Contact information *This question is required.

Full name
Email address
Phone number (work)
Phone number (cell)
City

4. Current employment
Note: If you are not currently employed or are retired, please put N/A in the boxes below. *This question is required.

Current employer
Your role title
Years employed (e.g., 2010 to current)

5. Previous employment

1. Name of employer
Role
Years employed (e.g., 2010 to 2011)
2. Name of employer
Role
Years employed (e.g., 2010 to 2011)

6. Formal education
Please provide information about your educational background, beginning with your most recent experience.

1. Name of education or training institution
Degree, diploma or certificate received
Date completed (e.g., 2010)
2. Name of education or training institution
Degree, diploma or certificate received
Date completed (e.g., 2010)
3. Name of education or training institution
Degree, diploma or certificate received
Date completed (e.g., 2010)

7. Other experiences
Please share any other relevant certifications, awards, memberships and/or volunteer experiences below (e.g., experience working on a code committee or advisory panel).

8. Please rate your experience in each of the areas below. *This question is required.

Space Cell	No experience	Some experience	Lots of experience
Working with Technical Safety BC	Working with Technical Safety BC: No experience	Working with Technical Safety BC: Some experience	Working with Technical Safety BC: Lots of experience
Serving on a committee or industry working group	Serving on a committee or industry working group: No experience	Serving on a committee or industry working group: Some experience	Serving on a committee or industry working group: Lots of experience
Technical (i.e., knowledge of the design, installation, and or maintenance of equipment or systems in your technology)	Technical (i.e., knowledge of the design, installation, and or maintenance of equipment or systems in your technology) : No experience	Technical (i.e., knowledge of the design, installation, and or maintenance of equipment or systems in your technology) : Some experience	Technical (i.e., knowledge of the design, installation, and or maintenance of equipment or systems in your technology) : Lots of experience
Safety (e.g., overseeing technical systems, conducting assessments/inspections, knowledge of hazards or safety risks, etc.)	Safety (e.g., overseeing technical systems, conducting assessments/inspections, knowledge of hazards or safety risks, etc.): No experience	Safety (e.g., overseeing technical systems, conducting assessments/inspections, knowledge of hazards or safety risks, etc.): Some experience	Safety (e.g., overseeing technical systems, conducting assessments/inspections, knowledge of hazards or safety risks, etc.): Lots of experience
Regulation (e.g., understanding standards, codes, Regulations and Acts)	Regulation (e.g., understanding standards, codes, Regulations and Acts) : No experience	Regulation (e.g., understanding standards, codes, Regulations and Acts) : Some experience	Regulation (e.g., understanding standards, codes, Regulations and Acts) : Lots of experience
Industry (e.g., participating in initiatives to enhance or raise awareness of your industry, understanding how other industries affect your own, etc.)	Industry (e.g., participating in initiatives to enhance or raise awareness of your industry, understanding how other industries affect your own, etc.) : No experience	Industry (e.g., participating in initiatives to enhance or raise awareness of your industry, understanding how other industries affect your own, etc.) : Some experience	Industry (e.g., participating in initiatives to enhance or raise awareness of your industry, understanding how other industries affect your own, etc.) : Lots of experience

9. Why do you want to serve on this advisory committee?
*This question is required.

10. What do you think makes you a strong representative for the position you are applying to? *This question is required.

11. Please tell us about the safety or industry issues you would like to bring to committee discussions.
*This question is required.

12. Based on your experience, what are the major technical safety issues affecting your industry? Please provide specific examples. *This question is required.

13. Is there anything else that you would like to share with us as part of this application?