TVC-SHRM Application for Membership

Application for Membership

Tennessee Valley Chapter of SHRM - Alabama
Name

First NameMiddle NameLast Name
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:
FLSA Status:
Total # of years in Human Resource exempt position blank* .
Select the top three functions in which you are most professionally engaged
Please indicate committees that you would be willing to volunteer:
Education
Company Size
Department Size
Facility Level
Are you a former member of SHRM Tennessee Valley Chapter?
If yes, when blanks .
Are you a former member of another SHRM chapter?
If yes, which chapter blanks .
Are you currently a member of National SHRM?
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.
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
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: