Please Print, Fill Out and Send to:
SEPA SHRM Chapter Administrator
Susan Warner, J.D ., SPHR
c/o Human Resource Trouble Shooters
9090 Pine Road, Office Suite A
Philadelphia, PA 19115-4417
Phone: (215) 698-7116 Fax: (215) 698-7116
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ATTN : Elizabeth Van Berg, SHRM Membership |
SHRM PRIMARY CHAPTER DESIGNATION FORM
Chapter #498 SEPA SHRM
I hereby designate the above named chapter as my PRIMARY chapter for SHRM membership coding purposes. I understand that:
- This does not preclude additional membership in other chapters
- This allows SHRM to list my membership in this chapter for statistical reporting and financial support program purposes only.
| Name: ____________________________ | SHRM MEMBER #:__________________ |
| Title: _____________________________ | Phone: ______________________________ |
| E-mail: ___________________________ | Fax: ________________________________ |
| Company: ___________________________________________________________________ | |
| Address: ____________________________________________________________________ | |
| City, State, Zip: _______________________________________________________________ Has someone from our chapter referred you? _____yes _____no If yes, please tell us his/her name and company: Name: ______________________________ Company:______________________________ | |
| Date: _______________________ | Signature: ____________________________ |
Applicants must also select a membership class: PM GM AM (Please circle one)
PM: Professional Members: Individuals actively engaged in professional aspects of human resources, personnel administration, or industrial relations, with at least three (3) years of experience at the exempt level; including persons in supervisory, administrative or professional positions in the human resources field or faculty Members of accredited colleges or universities who hold instructor, assistant, associate or full professor rank in human resources management or any of its related specialized fields. Includes any individuals certified by the Human Resource Certification Institute and human resource consultants and trainers. Professional members have a right to vote in the local chapter and to hold a voting Board of Directors position.
GM General Members: Individuals engaged in the human resources management at the exempt level but who do not meet the requirements for Professional Member. Members in this class have the right to vote in the local chapter but may not hold voting Board positions.
AM Associate Members: Individuals who are not eligible for other Membership status but who demonstrate a bona fide interest in human resource management and in the purposes of the Corporation and the Society .These include individuals engaged in non-exempt human resources management positions and non-practitioners having interest in the human resources profession. Associate members have no vote and may not hold voting Board positions.