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Membership Form

First Name * :
Middle Initial :
Last Name * :
Company Name * :
Job Title * :
Address 1 :
Address 2 :
City :
State :
Zip Code :
Phone Number * :
Fax Number :
Email
Address *
:
Website :
     
Are you a member of SHRM? yes no
(please select one)
If yes, please provide SHRM member number 
 
Type of application:
New Member
Renewal
Change/Update of Member Information
 

Membership Definitions - Please refer to when selecting type of membership applying for:

REGULAR MEMBERSHIP - available to those who are currently working in a Human Resources position or engaged in an HR function for their organization (i.e. a Finance Associate who is also responsible for the hiring and firing, etc in a small organization), to HR consultants, and to faculty members holding assistant, associate, or full professor rank in HR administration or any of its specialized phases in an accredited college or university, and to those who demonstrate, to the satisfaction of the Association's Board of Directors, a bona fide interest in both HR administration and in the purposes of the Association. To be eligible for regular membership, one must possess at least one year of responsible experience in HR work or the equivalent thereof. Annual dues for Regular Members who are also SHRM members is $25.00, non SHRM members is $45.00. If registering as a SHRM member, the applicant’s SHRM membership number must be noted on the application.

STUDENT MEMBERSHIP - is available to full-time students pursuing a human resources degree or human resources related degree and who are not currently engaged in a human resource role or do not work at any professional position. Student members do not have the right to vote or hold office in the Association. Annual dues for Student Members are not required.
 

Type of membership:
Regular
Student (expected year of graduation )
 
Current professional certification (please select):
  PHR SPHR N/A
 
What is your function? (Select the one which fits the majority of your professional responsibilities):

 
What is your business industry code? (Mark one only):
(70) Agriculture, Forestry, Fishing
(71) Manufacturing (Non-Durable Goods)
(72) Manufacturing (Durable Goods)
(73) Transportation
(74) Utilities
(75) Wholesale/Retail Trade
(76) Finance
(77) Insurance
(78) Service (Profit)
(79) Service (Non-Profit)
(80) Health
(84) Real Estate
(90) Educational Services
(91) Government
(92) Construction & Mining
(93) Oil & Gas
(95) Library
(96) Publishing - Newspaper
(97) Independent Consultant
(99) Other
 
What is your company size? (Mark one only):
(1) Less than 50
(2) 50 - 199
(3) 200 - 499
(4) 500 - 999
(5) 1000 - 1499
(6) 1500 and over
 
*Number of years of Human Resources experience: 
 
What is your title?:

Were you referred to VSHRM by another VSHRM member?
yes no
If yes, VSHRM member name 

IMPORTANT: As soon as you submit this form, you will be redirected to a payment page, please select your payment accordingly.

Note: After submitting the request for membership, you will automatically be redirected to the payment page (Paypal).  However, you are not required to pay through the website, you may mail your payment with a copy of the membership application to:

VSHRM
P.O. Box 5448
Saginaw, MI 48603

 

   
* = required    
     

 


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