TVC-SHRM Application for Membership

Application for Membership

Tennessee Valley Chapter of SHRM - Alabama
Name*

First NameMiddle NameLast Name
PHRSPHRSHRM-CPSHRM-SCPNone
Company*
Job Title*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Busines Phone Number*

Area CodePhone Number
Home Phone Number*

Area CodePhone Number
E-mail*
Mail to be sent to:*

CompanyHome
FLSA Status:*

ExemptNon-exempt
Total # of years in Human Resource exempt position blank* .
Select the top three functions in which you are most professionally engaged*

BenefitsCompensationEmployment/RecruitmentLabor/Employee RelationsEEO/Affirmative ActionHealth, Safety, SecurityResearch/ConsultantTraining/DevelopmentHR GeneralistHRIS
Please indicate committees that you would be willing to volunteer:*

Board of DirectorsOfficerEducation AdvocacyCertificationLegislative AffairsDiversityMentoringProgramsSocial EventsWorkshop/SeminarsResume BankMembershipNewsletter/Communications
Education*

High SchoolSome CollegeMaster'sMBAB.S./B.A.B.S./B.A.+PhD
Company Size*

1-100101-250251-500501-750751-10001001-25002501-5000
Department Size*

1-56-1011-2526-5051-100100+
Facility Level*

CorporateDivisionGroupPlantRegionSubsidiary
Are you a former member of SHRM Tennessee Valley Chapter?*

YesNo
If yes, when blanks .
Are you a former member of another SHRM chapter?*

YesNo
If yes, which chapter blanks .
Are you currently a member of National SHRM?*

YesNo
SHRM Member # blanks .
Outline below your specific areas of responsibility in your present position and the percentage of time that you spend in Human Resource functions. *
Please attach a current resume which highlights your experience.*

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Please indicate your membership category: Membership is open to exempt individuals as defined by the Fair Labor Standards Act.*

PROFESSIONAL MEMBER - Individuals actively engaged in bona fide human resource management, with at least three years of experience; individuals currently certified by the Human Resource Certification Institute; faculty members of an accredited college or university who teach courses related to the field of HR; full-time consultants with a minimum of three years experience who are not primarily engaged in assigning or directing a person to some other employer and charge a fee or commission for such service. Professional Members have the right to vote and may hold office.GENERAL MEMBER - Individuals primarily engaged in the profession of human resource management and meet the requirements for Professional Members, but who do not satisfy the three year exempt experience requirement. General Members have the right to vote but may not hold office.ASSOCIATE MEMBER - Management labor attorneys and other persons who do not meet the criteria for professional or general membership and who have an affiliation in HRM. Associate Members do not have voting privileges and may not hold office.INTERIM MEMBER - Individuals who have moved to the Tennessee Valley and are national SHRM members or have been members of a SHRM chapter or student chapter during the past year but are presently unemployed. Interim Members do not have the right to vote or hold office.STUDENT MEMBER - Individuals enrolled as a full-time or part-time student at freshman standing or higher in the equivalent of at least 6 credit hours with an emphasis in human resource management subjects. Students may not vote or hold office.
I hereby apply for membership in the Society for Human Resource Management, Tennessee Valley Chapter, and agree to pay the annual membership dues. I recognize and accept the responsibilities incumbent upon me as a member of the Human Resource Management profession and I pledge to assist in carrying out the objective of the Society.
Signature*

Clear
Date of Submission

MonthDayYear
Referred by (if applicable) blanks .
Annual Dues (check paybale to Tennessee Valley Chapter SHRM):

$40.00 non-National SHRM Member

$25.00 National SHRM Member

$15.00 students

Monthly lunch meetings are held the second Wednesday of every month at 11:15am at Cook's Museum in Decatur. Lunch is $15.00 per person.
Name as you would like it to appear on your tag: blanks* .
Should be Empty: