1APP INFO2SHRM MEMBER INFO3CONTACT INFO4EMPLOYER5MEMBERSHIP6TOTAL Application For*If you received an email or if you know your membership is expiring you can use the renewal option here. NEW Membership RENEW My Membership New Member ReferralIf you were referred to HRAA by an existing member, please list the member here for our Member Referral Program. Certifications HeldPlease list any certifications you hold here. For example, PHR, SPHR, SHRM-CP, SHRM-SCP, etc. SHRM Member*Are you currently a National SHRM Member Information? HRAA members are not required to be SHRM members. HRAA is also required to report this information to SHRM periodically with our membership information. YES NO National SHRM Member InformationSHRM Member # Expiration Date Chapter Info*Is HRAA listed as your primary or designated chapter with SHRM? YES NO - I belong to another local chapter as primary I never Designated a Primary Chapter Primary ChapterProvide us your primary chamber name. Contact InfoFull Name* First Last Cell PhoneBy providing your cell phone number you are authorizing HRAA to send you periodic text messages on our events and programs.Email*This is the address to which all of our electronic communications will be sent. Some employer firewall settings have prevented our members from receiving our communications in the past. If you use an employer email address be sure to check your spam filter settings and/or check with your IT department to be sure you can receive mail generated from MailChimp. You may choose to use a personal email address as your primary email address. Home AddressThis is optional and would only be used if you specify us to. Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Employment Status*What is your employment status? Employed Unemployed Employer InfoEmployer* Your Title*Please provide your title with your current employer. If you are a student or are currently unemployed, please indicate that here. Work Phone*Employeer Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Membership TypeHRAA offers several types of membership. Student Membership is available to any individual currently enrolled in an accredited College or University for a minimum of six (6) credit hours. National Membership is available to Individuals who are also members of SHRM and have designated HRAA as their primary affiliate chapter. Local Membership is available to Individuals who are not SHRM members OR who have not designated HRAA as their Chapter of record with SHRM. Member Type* Student Membership National Membership Local Membership College or University attendingFor student members | Enter College or University attending Program of StudyFor student Members | Enter Program of Study Career LevelCareer Level*To help guide programming decisions, please select your career level. Definitions from SHRM's HR Career Road-Map. EARLY: Little to no experience. Supports operational functions. May lead small-sized projects. Carries out HR plan at the transactional level. MID: Moderate experience. Leads or supports operational functions. Manages small to mid-sized projects. Implements HR plan and contributes to its refinement. SENIOR: Significant experience. High-level strategic and/or operational leader or experienced HR consultant. Oversees large or multiple programs or projects. Operationalizes HR strategy and translates strategy into a plan. EXECUTIVE: Extensive experience. Highest-level, strategic leadership role in organization or highly experienced HR strategy consultant. Peer group is other executives in the organization. Develops HR strategy. STUDENT: Not applicable TOTAL and PAYTotal $0.00 Billing Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Credit Card*Card Details Cardholder Name =================================== Transaction currency is United States of America (USD) ===================================NameThis field is for validation purposes and should be left unchanged.
