TC 304 Healthcare Organization Management Membership Application

U.S. Participation in International Standards (ISO) happens through Technical Advisory Groups (TAG). This application supports your involvement in the TAG that creates international standards through ISO Technical Committee 304 Healthcare Organization Management.

Please Note: Use this form if you are an individual member representing yourself.
If you will be representing a company, organization, or government agency please use this form instead.

Name

First Last

Phone

Title

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please list your experience with standards development (if applicable)

Please attach your CV / Resume

Max. file size: 8 MB.

Step 2: To qualify as a participant in national standards development you must be a U.S. National Interested Party, which is defined as one of the following:

an individual representing a corporation, or an organization domiciled in the U.S. (including U.S. branch offices of foreign companies authorized to do business in one or more states as defined by the relevant State’s Corporation law within the U.S.);
an individual representing a U.S. federal, state, or local government entity; or
a U.S. citizen or permanent resident.

I confirm that I qualify as a U.S. National Interested Party:

Yes, I qualify

No, I do not qualify

Step 3: As a participant and/or on behalf of my organization (if applicable), I am aware of the following resources that outline requirements of active participation:

ANNEX A of the Model Operating Procedures for U.S. TAGs to ANSI for ISO Activities of the ANSI Procedures for U.S. Participation in the International Standards Activities of ISO (current edition)
The ISO Directives Part 1 and 2 (current editions)
The ISO Code of Conduct for Technical Work (current edition), and any other relevant written requirements as determined by the Administrator.

Please indicate your primary Interest Category:

Interest Categories are those fields or sectors that you will be representing on the U.S. TAG. Please choose a single category the best represents your participation.

User-Corporate

Producer - Corporate

Association

Consultant/Legal

Government/Academic

General Interest

Patient or Patient Advocacy: Groups representing patient interests

Non-Governmental Observer (NGO): Labor, consumer interest

Conflict of Interest

If your organization has relationships that are or could be perceived as conflicts of interest with any other organization, or any standards projects under development, please identify the organization(s) and briefly describe the nature of the relationship or potential conflict of interest (Such relationships do not necessarily disqualify an applicant from a voting membership).

I am not aware of any conflict of interest

Potential conflicts of interest

Please Explain

Please provide any additional information or statements to be considered while reviewing your application for membership.

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