IAFC Technology Council Interest Form

Please complete the form below to indicate your areas of expertise and interest as they relate to the work of the IAFC Technology Council.  When an opportunity for involvement arises that matches your interest, we will contact you. Council members are required to attend 75% of meetings (tele-conferences or in-person).

	First Name
	Last Name
	Email
	Department/Company
	Title
	City
	State/Province
	Country
	Phone
	Best way to contact you:	Email Phone
	Are you an IAFC member?	Yes No

Expertise/Areas of Interest (select all that apply)

	Human factors technology
	(technologies applied to human capability such as data analysis, financial systems, training, etc.)
	Prevention technology
	(technologies applied to fire prevention)
	Incident technology
	(technologies applied to on-scene incident management)
	Vehicle technology
	(technologies applied to fire and emergency service vehicles)

Level of Involvement (select all that apply)

	Fire service advisor
	(wish to work on Council research projects)
	Vendor advisor
	(wish to support the work of the Council in order to improve technology in the fire service)
	Testing participant
	(work with Council research groups)
	Information only
	(receive future updates from the Tech Council)

Your Background

	Describe your background
	Describe your background as it relates to the areas of interest you indicated. Please specify any official role you currently hold (i.e., member of interoperability executive committee, user/stakeholder groups, committees, etc). You may also attach your bio or resume below.
	Attach your bio or resume
	(PDF or MS Word file)

= required information