Application for National Membership Join SHRM National Through the Affiliated SHRM Guam Chapter
Optional Membership Categories NOTE: Membership in any of the following categories is open to all SHRM members.
MEMBERSHIP DUES IN ADDITION TO CHECKING I YEAR NATIONAL OR 2 YEARS NATIONAL, please check all OTHER appropriate boxes. For example: I year National ($160) PLUS I year IIHR ($95) would give an annual membership fee and total amount due SHRM of $255.
Total Amount Due to SHRM $
SHRM annual dues are not deductible as charitable contributions for income tax purposes but may be deductible as business expenses except that, under IRC section 162(e), 7.5% of the SHRM annual dues are not deductible. Additional dues categories of IIHR NPRA, SHRM Consultants Forum, EMA and SHRM High-Tech Net may be deductible if considered as an ordinary and necessary business expense.
I hereby apply for membership in the Society for Human Resource Management and agree to pay the current applicable membership dues (of which $30 is applied towards HRMagazine and $25 for HR-News).
Signature/Date
This information assists us in analyzing the demographics of our membership and helps us to design new programming and other initiatives.
Please complete the following:
Education: 1 High School 2 Some College 3 Bachelor's Degree 4 Some Graduate work 5 Master's Degree 6 MBA 7 Doctorate
Company Size: 1 Less than 100 2 100 - 499 3 500 - 999 4 1000 - 2499 5 2500 - 4999 6 5000 or less
Unit Level in Organization: 1 Plant 2 Region 3 Division 4 Group 5 Subsidiary 6 Corporate 7 Other
Department Size: 1 Less than 10 2 10 - 24 3 25 - 49 4 50 - 99 5 100 or more
Race/Ethnic Identification (optional): 1 American Indian/Alaskan Native 2 Asian/Pacific Islander 3 Black 4 Hispanic 5 White 6 Other
Gender (optional): Male Female
Title: 13 President 15 Vice-President 17 Assistant/Associate Vice-President 20 Director 25 Assistant/Associate Director 30 Manager 35 Supervisor 40 Specialist 47 Representative 50 Legal Counsel 55 Academician 60 Librarian 65 Consultant 99 Other (please specify) Other:
Function: 50 HR Generalist 51 Employment/Recruitment 52 Benefits 53 Compensation 54 Labor/Industrial Relations 55 Training/Development 56 Organizational Development 57 Legal 58 Health/Safety/Security 59 Employee Assistance Programs 60 Employee Relations 61 Communications 62 EEO/Affirmative Action 63 HRIS 64 Research 65 Consultant 66 Administrative 67 International HRM 68 Diversity 69 Other (please specify) Other:
Business & Industry Code: 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 Services (Profit) 79 Services (Non-profit) 80 Health 84 Real Estate 90 Educational Services 91 Government 92 Construction & Mining 93 Oil & Gas 95 Library - Corporate/Public/Academic 96 Publishing - Newspaper 97 Independent Consultant 98 High Tech 99 Other (please specify) Other:
Birth Date (mm/dd/yy) (optional):
Last Name First MI Jr., Sr., PhD, etc. SSN#___________________(US only) Certifications: PHR SPHR Other__________________ Title Company Name Company Address City State/Province ___Guam_____ Zip/Post Code Country_____USA____ Phone # Fax # Email address Home Address City State/Province ___Guam_____ Zip/Post Code Country_____USA____ Phone # Former Member of SHRM/ASPA? Yes No If yes, Member # Send Mail to Home Company I do not wish to receive non-association mail.
Please indicate your SHRM chapter name OR number (if applicable): __________SHRM Guam, Chapter #0372_____________
Sponsor's Name:
For SHRM Headquarters Use Only
Date Entered:_____by:_____________________ ID#_______________________________________ Date Pmt Rec'd:___________Amount:_________ Co. Ck._______Pers. Ck.___________________ Chapter Ck._______________________________
MAIL COMPLETED APPLICATION WITH PAYMENT TO