2019 Lakeshore Area Human Resources Association Membership
Please complete the below information to submit your membership for 2019.
About You
First Name
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Middle Initial
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Last Name
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Membership Application for:
If you are currently a member of SHRM National, what is your SHRM ID number?
Your answer
Do you hold any certifications?
About Your Employment
Job Title
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Company
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Supervisor's Name and Position
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Supervisor's Email Address
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Work Street Address
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Work Mailing Address
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Work City
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State
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Zip Code
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Work Email
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Work Phone Number
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Contact Information
Home Street Address
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Home City
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State
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Zip Code
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Home Email
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Home Phone Number
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LAHRA Involvement
Please indicate any LAHRA core leadership committee(s) you would be interested in participating in
Do you have interest in a board position?
Do you have interest in becoming SHRM-CP or SHRM-SCP certified?
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. *
Your answer
Today's Date *
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