Application for Membership of SHRM GMVHRA:

To become an active member of the GMVHRA, you must be an active member of the National Society for Human Resource Mangement.

Date

SHRM #

SHRM Expiration Date

Certification: PHR SPHR Other

Name

Title

Company

Street Address

City, State, Zip

Phone

Fax

Email

Gender Male .. | .. Female

Year entered profession

 

Please check or circle:
Education                                               
High School                                   
Some College                                 
Bachelors Degree                           
College Beyond Bachelors Degree
Masters Degree                                   
MBA
Doctorate

Generation
1925 – 1945 Silent
1946 – 1964 Baby Boomer
1965 – 1979 Gen X
1980 – 2000 Millennial

Industry                        
Manufacturing                             
Transportation                             
Utilities                                        
Wholesale/Retail                                             
Finance                                                 
Insurance
Service – Profit
Service – Non Profit
Government
Education

Unit Level
Plant
Division
Subsidiary
Corporate
Other

Job Title                                            
President                                                       
Vice – President             
Asst. VP                                              
Director                                             
Asst. Director                             
Manager                            
Supervisor                           
Specialist                                                                   
Administrator               
Representative                                     
Legal Counsel                                     
Academician                                       
Consultant                                         
Other _______                                             
  

Function
H/R Generalist   
Employment/Recruitment
President    
Benefits    
Compensation
Labor Relations 
Training/Development
Organizational Development 
Legal             
Health & Safety   
Employee Relations  
Communications 
EEO/Affirmative Action    
HRIS 
Research                                
Consultant
Other _______

Report To
Owner
Vice President
Asst. VP
Director
Asst. Director
Manager
Supervisor

Dept. Size                            
< 5                                                   
5–9                                                   
> 9   

Company Size
< 25
26–50
51-100
101-250
251-500
> 500

 

||||| Membership Dues ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||

Month Joining—Fee

JUL / AUG / SEPT—$50.00

OCT / NOV / DEC—$45.00

JAN / FEB / MAR—$35.00

APR / MAY / JUN $25.00

Annual dues thereafter is $50.00 and will be billed in July of each year.

 

 

Please print this page, mail and or fax membership dues to:

Lisa Lemieux, PHR
23 Timber Lane
Methuen, MA 01844

Fax# 978.683.4771

Any questions or comments?

Thank-you!

 

Providing people responsible for the human resource function an opportunity for continuous improvement through educational programs, networking, and staying abreast of federal and state legislation.