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Membership Application

    03/30/2008

    DelMarVa SHRM

    An Affiliate of the Society of Human Resource Management

    Chapter # 0572

    2008

    Membership Application

    Name:______________________________________ Certification _______

    (Ex: SPHR, PHR)

    Title_________________________

    Are you a National SHRM member? Yes ? No ?

    SHRM National #__________________________

    Organization/Company______________________________

    Address: __________________________________________

    City_____________________________ State________Zip Code_________

    Telephone #: ___________________Cell Phone#________________

    Fax# _________________________ E-Mail _______________________

    2008 Dues:

    SHRM National members $ 30.00 DelMarVa Chapter dues for local

    membership (National

    Membership required.)

    National ID#___________________

    Non-National member $ 40.00 DelMarVa chapter dues for local

    members who are not members of National.

    Students Members $ 15.00 DelMarVa Chapter only. (Full time

    student.)

    Meeting Locations: Georgia House Restaurant

    18 South Walnut St.

    Milford, De. 19963

    Meeting are held the third Tuesday, January – June, Sept.,Oct, and Dec.

    Networking: 5:30 P.M.- 6: 15 P.M.

    Dinner; 6:15 P.M.

    Program 6:45P.M.-8:00 P.M.

    Cost of Dinner:

    Members $25.00

    Non Members $30.00

    Students $15.00

     

    Comments_____________________________________________________________________________________________________________________________________

    Number of years experience in Human Resources fields? ___________

    What are your primary responsibilities in the field of Human Resources, or do you have a history of employment in the Human Resources profession? Please explain. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

    Are you a professional consultant in the Human Resources field? Please explain specialty area. ________________________________________________________________________________________________________________________________________________

    Please list program topics you would find interesting._______________________________________________________________________________________________________________________________________

    Mailing Address:

    DelMarVa SHRM

    P.O. Box 1169

    Milford, DE. 19963