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Membership Application

Local individuals who are involved in human resource management and desire professional association with other human resource professionals may apply for chapter membership. Applications will be considered by the Board of Directors.

First Name: 
Middle Name: 
Last Name: 
HRCI Status: 
Job Title: 
Preferred Email: 
Password: 
Confirm Password: 

Personal Contact Information:
Alternate Email: 
Home Address: 
Apt/Suite: 
City: 
State: 
Zip: 
Home Phone: 
Home Fax: 

Company Information:
Company: 
Description: 
Website Address: 
Address: 
Apt/Suite: 
City: 
State: 
Zip: 
Phone: 
Fax: 

Professional Background
Certifications    
     PHR
SPHR
CCP
CEBS
None / Other
  
Please describe your current human resource duties* (required)    
    
  
Referred by     
      

Previous Business Experience

First Business Experience
Company Name     
      
Position     
      
Years worked     
      

Second Business Experience
Company Name     
      
Position     
      
Years worked     
      

Third Business Experience
Company Name     
      
Position     
      
Years worked     
      

Education

First School
School Name     
      
Degree Earned     
      
Major * (required)    
      

Second School
School Name     
      
Major     
      
Degree Earned     
      

Third School
School Name     
      
Major     
      
Degree Earned     
      

Membership Type
Select your membership type * (required)    
      
If SHRM National member selected, please provide your membership number:     
      
Total:    
    $

 


Note: If you are joining mid-year, your HRACU membership dues will be pro-rated.  The HRACU Membership Director will let you know the amount owed if your application is approved by the Board of Directors.


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