Membership Renewal Form


Thank you for renewing your Dulles Chapter of the National Society of Human Resource Management membership. As you know, we are a 100% Chapter and any membership application to this chapter requires membership in National SHRM. Membership in the national organization must be maintained to continue Dulles SHRM membership.

Please Note: If are a new member, or if not an immediate renewing member (for example, you are joining our chapter in 2009 and you were not a member in 2008), please register as a new member at the following link:


Need to Make Changes to Your Membership?
Click here to make changes to your current membership information.
Please login to renew your membership
National SHRM #
Dulles Password



National SHRM # *
Create Password *
First Name *
Last Name *
Are You a
Student Member?		 YES
Professional Accreditation
(Check Relevant)  		SPHR PHR GPHR CEBS
APS APD AP AEP CCP CBP RODP RODC Other
Directory Information
Please indicate information for the Chapter directory. If it is not business information please indicate "None" in the Title and Company fields.
Title
Business/Company Name
Address
City
 State
Zip Code
Business Telephone
Business E-mail
Mailing Information
Address *
Address (cont.)
City *
 State *
Zip Code *
Telephone *
E-mail *
Membership Payment Type
Payment Type *
Chapter Information
Primary Chapter Designation: *
Indicate Primary Designation If Not Dulles
NOTE: SHRM National recognizes only one chapter as your official or primary chapter. The Dulles SHRM Chapter will be designated as your primary chapter unless you select "Other" above and indicate your primary chapter designation.
Demographics

Please indicate your response to each of the following by checking the appropriate choice. This information assists us in analyzing the demographics of our chapter membership and helps us to plan dinner programs and activities.
Gender
Department Size
Years in HR
Age
Race
Education
Business/Industry
Company Size

HR Functional Specialty:
(Check all that apply)

HR Generalist Employment/Recruitment
Benefits Compensation
Training/Development HRIS
International HR Employee/Labor Relations
Organizational Development Legal
Health/Safety/Security Diversity
Consultant    

Indicate Other Specialty:


I understand that in order to join the Dulles Chapter, I must satisfy the following requirements:

Be a dues paying member in good standing with National SHRM.

Be considered and approved for membership by the Board of Directors of the Dulles Chapter.

Pay annual dues of $30.00 each January to the Dulles Chapter (in addition to National dues).

Signed
( Please re-type name )

*



*Membership in the Dulles Chapter will be accepted upon receipt of your National SHRM membership number. The Dulles Chapter is a 100% Chapter, i.e., all members are required to join National SHRM prior to joining the Dulles Chapter. Membership in the national organization must be maintained to continue Dulles SHRM membership.

NOTE: For new members who join during the 4th calendar quarter (October-December), paid dues cover the remainder of the current calendar year as well as the following calendar year.

If mailing $30.00 membership dues, mail payment to:

Treasurer
Dulles SHRM
P.O. Box 1249
Herndon, VA 20172-1249

Membership Payment Related Questions:
Tim Kelly, CLU, Treasurer

Other Membership Related Questions:
Roxanne Ward, Vice President, Membership

Please login on the Chapter Meeting Registration page to receive member pricing if you are a chapter and national member.

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