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*First Name
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Are you a SHRM National Member? Yes No
If yes, please indicate your SHRM National member ID#: (if national member)
Expiration Date
Certifications PHR Certified?
SPHR Certified?
SHRM-CP Certified?
SHRM-SCP Certified?
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General Information

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*Organization
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Extension
Business Fax
*Primary Job Responsibilities
*Please give the name, company, and phone number of an individual who can attest to the above

Previous Human Resources/Business

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*To
*Company
*Company Address
*Previous Human Resource Experience
*Responsibilities
*Total Number of Years in Human Resources
*How did you hear about us?

Active Duty Military/Veteran Status

Are you a current or former member of any military branch?
If yes please provide branch of service
 

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*The Green Bay Area SHRM Chapter like to recognize our current and former military members each year upon veterans day. This information will be kept on file and only used for those purposes.

I hereby apply for local membership in the Green Bay Area Chapter of the Society for Human Resource Management. I recognize and accept the responsibilities incumbent upon me as a member of the Human Resources profession.

I pledge to abide by the Bylaws of the Chapter and understand that membership is contingent on the approval of the Board of Directors of the Green Bay Area Chapter of the Society for Human Resource Management.

When you press submit you will be routed to our online payment system to complete your membership registration. If for any reason your membership would be denied, you will be issued a full refund.