Membership Categories

MEMBERSHIP APPLICATION CHAPTER #619

Membership Categories Member Information Professional Member Limited to those individuals who ______are engaged as one or more of the Full Name following: (a) practitioners of HR management; (b) certified by SHRM or HRCI; (c) faculty ______members in HR management or Title any of its specialized functions at an accredited college or university; ______(d) consultants or third-party  Company Name  School Name associates practicing in the field of HR management; and/or (e) ______attorneys experienced in counseling  Business Address  Home Address and advising clients on matters relating to the HR profession. ______Professional members may vote and hold office in the chapter. ($40 City State Zip annual with national SHRM membership, $20 after 7/1; $50 ______Non-SHRM member, $25 after 7/1)  Business Phone  Cell Phone Associate Member Individuals who do not meet the ______qualification of the other classes of Email Address membership but who demonstrate a bona fide interest in HR How did you learn about the Grundy Will HR Association? management and the mission of the Chapter. Associate members may ______vote and hold office in the Chapter. ($50 annual, $25 after 7/1) Student Member Are you a current member of SHRM? No Yes Membership #______Individuals who are (a) enrolled as full-time students; (b) enrolled in a Certifications:  SHRM-CP  SHRM -SCP GPHR SPHR  PHR 4-year or graduate institution and/or a consortium of these or a 2- I hereby apply for membership in the Grundy Will HR Association, a chapter year community college. Student affiliated with the Society for Human Resource Management, and agree to pay the members may not vote or hold current applicable membership dues. office in the Chapter. ($5 annual) Military/Veteran Member ______Individuals who are active duty or Signature Date honorably discharged from any military branch or reserve unit of military. ($0 annual)

Professional Member dues are $40 for calendar year, January – December. Non-SHRM/Associate dues are $50 for calendar year, January – December. Members-in-Transition dues are discounted by 50%; Student Member dues are $5. Military/Veteran dues are waived. After July 1, dues for the remainder of the calendar year are $20/$25 ($5 per student). Please make check payable to “Grundy Will HR Association” Send completed form and payment to: Aux Sable, Jessica Kiska, 6155 E US Route 6 Morris, IL 60450

For Grundy Will HRA Use Payment Amount $ ______ Check  Cash Date Received: ______