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Membership Application
Name:
Title:
Company:
E-mail Address:
Address:
Phone:
Fax:
Are you a member of other HR organizations?
Yes
No
If yes, please list associations:
Your primary area of responsibility:
Select one:
HR Generalist
Administration
Benefits
Compensation
Employee Relations
Employment/Recruitment
HRIS/HRMS
Labor/Industrial Relations
Legal
Organizational Development
Indep. Consultant/Consulting Firm
Training
HR Services and/or Products
Other
Membership Status and Dues
Select one:
New member ($50)
Renewal ($50)
Associate member ($50) - sole HR, small organization
Associate member ($50) - consulting in support of HR function
Associate member ($50) - student
Percentage of time spent on HR work:
Select one:
0 - 25%
26 - 50%
51 - 75%
76 - 100%
Years in HR:
Select one:
0 - 5 years
6 - 10 years
11 - 15 years
15+ years
Company Size:
Select one:
Sole Practitioner/Consultant
2 - 10
11 - 50
51 - 100
101 - 500
501 - 1000
1001+
Education:
Select one:
High school/Some college
Bachelors Degree
Masters Degree
MBA
JD
Doctorate
Are you interested in joining a committee? Check all that apply:
Communications/PR
Membership
Newsletter
Programs
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