Membership Registration


* Shows Required Fields.
First Name: *
Middle Name:
Last Name: *
HRCI Status:
Job Title:
Email:*
Password:*
Confirm Password:*
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Personal Contact Information:
Alternate Email: *
Home Address: *
Apt/Suite:
City: *
State: *
Zip: *
Home Phone: *
Home Fax:
Company Information:
Company:
Description:
Website Address:
Address:
Apt/Suite:
City:
State:
Zip:
Phone:
Fax:
Industry *
 
Size of Organization (SAA)
Department Name *
I understand that VSHRA is a 100% SHRM Chapter which requires its members to be current SHRM members in good standing.
SHRM Member Status *
Please provide your SHRM Number
SHRM Expiration
I would like to designate VSHRA (SHRM Chapter #0052) as my preferred affiliate chapter
. Yes No
HRCI Certifications Held (select one) PHR
SPHR
Other (specify below)
None
Other Certifications
Please tell us who referred you to VSHRA.
Which location would you be most likely to attend *
What committee would you be interested in joining as a member of VSHRA?
Central Valley Area Leadership
College Relations Committee
Community Involvement Committee
Diversity and Inclusion Committee
East Valley Leadership
Finance Committee
Holiday Committee
HRCI Certiification
Law & Legislative Action Committee
Membership Committee
North Valley Area Leadership
PR Relations/Communications Committee
Program Committee
SHRM Foundation
Sponsorship Committee
West Valley Area Leadership
Workforce Readiness Committee
Current Position Information
Position or Title *
Job Description*
FLSA status of current or most recent (if currently unemployed) position Exempt
Non-exempt
Number of years experience in a non-exempt position
Number of years experience in an exempt position
Please tell us how you spend your time in your current position.
% Compensation *
% Benefits *
% Training and Development *
% Employment/Recruiting *
% Employee Relations *
% Labor Relations *
% HRIS *
% Other Non-HR (please specify below) *
Other Non-HR
 
Please select your membership type: *
Is the cost of membership a personal expense for you, or will you receive reimbursement from your company?
Type of Membership Personal
Reimbursement from company
Tell us about yourself
We announce new members each month in our newsletter. Please give us a brief statement about yourself and your professional work.*
Please paste your current resume in the space provided below.*
Agreement

By submitting this application I agree to abide by the bylaws of the organization and pledge to practice and uphold the Code of Ethics and help carry out the objectives of the Association.

I agree not to use my membership in this organization or the Membership Directory for direct solicitation of members or for monetary gain. I understand that dues are paid on a calendar year basis, prorated to the date I am approved.
   
Personal Email Address *
Payment Information
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Total Fee ($):
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Card Type *
Credit Card Number *
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Card Expiration Date *
Same as My Personal Information
Same as My Company Information
Credit Card Address*
Credit Card City*
Credit Card State*
Credit Card Zip*
Credit Card Phone*

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