2021 Lakeshore Area Human Resources Association Membership Application
Please complete the below information to submit your membership for 2021. An invoice for either check or credit card will be sent to you via email once your application is processed. Note: If you are applying prior to January 1st 2021, we will be sending invoices after January 1st so our financials match the current membership year. We apologize for any inconvenience.
Membership Application for:
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About You
First Name
Middle Initial
Last Name
If you are currently a member of SHRM National, either list your SHRM ID number or the email address associated with your SHRM account. (If you are NOT a SHRM National Member, please leave blank.)
Do you hold any certifications?
About Your Employment
Job Title
Employer
Work Email *
Business Mailing Address
City
State
ZIP Code
Work Telephone
Direct Supervisor
Supervisor's Email
Your Personal Contact Information
Home Address
City
State
ZIP Code
Personal Email
Home Phone
LAHRA Involvement
Please indicate any LAHRA core leadership committee(s) you would be interested in participating in
Do you have interest in a future board position?
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Do you have interest in becoming SHRM-CP or SHRM-SCP certified?
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Sign and Date
By typing my name below, I hereby apply for membership in the Lakeshore Area Human Resources Association and agree to pay the current applicable membership dues. I pledge to uphold and abide by the by-laws and to assist in carrying out the objectives of the Chapter. *
Today's Date *
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