Membership Application s2

GREATER VALLEY FORGE HUMAN RESOURCE ASSOCIATION, INC.

2119 County Line Road, Villanova, PA 19085  (610) 551-4736  Fax (610) 525-2187  www.GVFHRA.org SHRM Chapter 405 Membership Application Membership is on an individual basis; corporate membership is not available. Name (Please Print clearly or attach business card) Title Company

Business Description (3 words or less) (Retail, Educational, HR Consultants, Insurance, etc.) Business Address Zip Home Address Zip Business Phone ( ) Fax Number ( ) Home Phone ( ) Fax Number ( ) E-Mail Web Address:______

Home E-Mail Check if you do not want your address used by other associations. ------Annual Dues Enclosed: Dues must be paid by October 1. Membership year begins in September. Dues paid after April 1 will be credited to the following year. Non-SHRM Member: SHRM Member: Membership Only: $75.00 Membership Only $45.00 Membership plus 5 Meetings: $190.00 Membership plus 5 Meetings: $160.00 Membership plus 10 Meetings: $300.00 Membership plus 10 Meetings: $270.00

In order to take advantage of your meeting credits you must pre-register for meetings by the Friday proceeding the meeting. Credits are used for breakfast and dinner meetings only and are non-transferable and non-refundable. Credits will expire after the May 2008 meeting.

Payment may be made by check or visit our web site (www.GVFHRA.org) to pay by credit card (Visa, Master Card or Discover, No AMEX). -over- Briefly outline level and scope of current assignment:______Position currently reports to:______If not SHRM member, please give name and business phone number of individual who can attest to above information. ______

Please complete the demographic information below. This information is important to GVFHRA to help us better understand and serve our membership. You are not obligated to complete this section, however please note that any information you provide will be kept strictly confidential. I pledge to practice and uphold the ethics of the profession and to abide by the bylaws of the Soceity.

Signed Date

DEMOGRAPHIC INFORMATION TOTAL COMPANY SIZE Please consider Male Female 1 Less than 100 becoming involved as a Race/Ethnic Identification 2 100 - 499 volunteer in one of the 1 American Indian/ 3 500 - 999 following committees. Alaskan Native 4 1000 - 2499 Please circle the 2 Asian/Pacific Islander 5 2500 and over committess in which you 3 African may have interest: 4 Hispanic INDUSTRY CATEGORY 5 White (Non-Hispanic) 14. Advertising/Communications 1. Career Development 5. Aviation Services 2. College Liaison 10. Banking/Financial Services Professional Certification 24. Coaching/Counseling/PerformanceMgmt 3. Communications PHR SPHR 18. Computer Systems/Services 4. Community Partnership 26. Construction 5. Compensation & Benefits 21. Consulting–Comp/Benefits 6. Community Outreach Yrs in Human Resources: 20. Consulting–HR Generalist Services 19. Consulting–Org Dev./Training 7. Diversity Resource 22. Consulting–Other Connections MAJOR JOB 1st 2nd 26. Design/Engineering 23. Employee Relations FUNCTIONS : 80. Disability Management 8. Executive Forum Rank the functions in which 30. Education 52. Employee Assist/Support 9. Hospitality you spend most of your time. 25. Employment Screening 25. HRIS 1 Generalist 34. Government 10. Job Bank 35. Health Care 11. Legislative 2 Compensation 8. Heavy Equipment Operations 3 Employment 42. Hospitality 12. Membership 4 Benefits 12. Industrial/Medical Gases 13. Newsletter 5 Training and Development 46. Insurance 14. Organization & 50. Legal Services Development 6 Consultant 54. Manufacturing 22. Resource Bureau 7 Labor/Employee Relations 58. Non-Profit 27. Outplacement 15. Professional Certification 8 Other 28. Outsourcing 16. Programs 36. Pharm/Dist/Research 17. Program Sponsorship 16. Publishing 66. Real Estate 18. Publicity 23. Recruiting (Temp/Perm) 19. Recruiting & Retention 70. Retail/Wholesale Trade 21. SHRM Foundation 74. Sales/Service 20. Web Initiatives 44. Technology Solutions 33. Transportation/Rental 24. Vendor Relations 82. Utilities For more information on 99. Other joining a comittee call (610) 551-4736

Please make checks payable to "GVFHRA" and return to: Greater Valley Forge Human Resource Association 2119 County Line Road Villanova, PA 19085-1733 Tax ID# 23-2786230