Mohawk Valley SHRM - Member Application (SHRM Member)

MVSHRM Dues Waived for Current SHRM Members

For more information regarding SHRM and Chapter membership Click Here

* Are You A Current SHRM Member? Dues paid to SHRM and your membership has not expired

Yes
No

* SHRM ID# Your E-mail address that was given to SHRM

* SHRM Membership Expiration Date can be found on your SHRM ID card or dues payment receipt; used as your MVSHRM membership expiration date also

* Are you designating MVSHRM as your Primary Chapter? SHRM members can belong to multiple chapters but designate only one as primary; answering yes will make MVSHRM Primary

Yes
No

If you answered no, are you a primary member with another SHRM Chapter? SHRM members can belong to multiple chapters but designate only one as primary

Yes
No

If you are a member of another Chapter, please provide the name of the Chapter SHRM members can belong to multiple chapters but designate only one as primary

* Are you a Student Member of SHRM?

Yes
No

If you answered yes, please indicate the school that you attend.

* Last Name

* First Name

* Job Title If retired or unemployed, indicate that

* Do You Have HR Certifications? check all that apply

If you have other certifications and/or degrees, please list them.

* Business Name If retired or unemployed, indicate that

* Industry Type If not listed, choose Other

If you answered other, please indicate industry type.

* Primary Mailing Address MVSHRM will use this address for physical mailings

Address Additional Address information such as Suite#, Apt.#

* City

* State

* Zip Code

* Primary Phone Number Main phone number where you can be reached in the event we need to call

Primary Phone Extension (if applicable)

Fax number (optional)

* Primary E-Mail Address All mail will be sent to this primary e-mail address unless otherwise specified

Business website (optional)

Alternate Address (optional) secondary address

Alternate City (optional)

Alternate State (optional)

Alternate Zip Code (optional)

Alternate Phone (optional) If you wish to add a 2nd phone #

Alternate E-Mail Address (Optional) If you wish to add a 2nd e-mail address

Please Complete the Applicable Fields Below:

Please indicate who referred you to MVSHRM (if applicable)

* Please indicate the total number of individuals that your company employs If retired or not working indicate zero

Are You Interested in Volunteering on a Committee? List all that apply. Committees: College Relations, Diversity, Legislative, Membership, Professional Development, Programs/Events, Public Relations/Social Media, SHRM Foundation, Sponsorships, Workforce Readiness

Are You interested in becoming a future Board Member? List area of interest. Board Positions: President, President-Elect, Treasurer, Membership, College Relations, Diversity, Legislative, Professional Development, Programs/Events, Public Relations/Social Media, SHRM Foundation, Sponsorships, Workforce Readi

If this is a new application for MVSHRM membership, you will receive a Welcome Letter upon review and approval of your application. Then you will have full access to the MVSHRM Website. If you are an existing member or former member and renewing your membership, upon completion of the renewal process you will continue to have full access to the website. Thank you for your membership with MVSHRM!

If you have any questions or need assistance with this application, contact [email protected]

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Member Application (SHRM Member)

MVSHRM Dues Waived for Current SHRM Members

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