Member Application

Contact Information

* Designation (PHR Certified, SPHR Certified, GPHR Certified, SHRM-CP Certified, SHRM-SCP Certified)

(NOTE: RVHRA membership is individual, not business.)

* First

* Last

Title

* Business/Organization Name

* Business Address

* City

* State

* Zip

* Phone

* Email

* Do you hold an Exempt or Non-Exempt HR Position?

* Years In Human Resources

Company Website URL

Supervisor Contact

We would like to contact your supervisor to alert them of our annual HR Hero Award, upcoming events or just to say thanks for their
support. Please indicate their contact information below. Their information will not be released to any external parties.

* Supervisor Name

* Title

* Supervisor E-Mail

(Mailing address if different than yours)

Supervisor Address

Supervisor City

Supervisor State

Supervisor Zip Code

* Number of Employees in Company

Number of Employees in Company (Other)

MEMBERSHIP REFERRALS

Helpful Membership Information

If you know of other Human Resource professionals or businesses that might be interested in RVHRA membership information, please provide their names, titles, and addresses and we’ll be happy to forward information to them.

May we include a note mentioning your name as the person who referred them?

Topics, Speaker Recommendations & Resources

We welcome feedback on topics of interest for meetings and/or workshops. In addition, if you know of or have personally heard a
dynamic speaker, we’d appreciate learning the name of that person. You can also help fellow HR professionals by sharing the names
of resources you’ve found particularly helpful.

Topics

Speakers

Want To Get Involved?

* RVHRA is always looking for enthusiastic volunteers! Please indicate your willingness to help out in the following areas

Membership Information

Please note that our membership year and dues are January – December of each year.

PLEASE NOTE!!

If you take and pass the SPHR/PHR/SHRM-CP/SHRMP/SCP/GPHR in a given year, RVHRA gives you the next year of membership for free – so be sure to let us know!!
Are you an HR professional who was a paid member of RVHRA in 2019 and you are in transition – between jobs? The RVHRA board is pleased to offer you a once in a career opportunity to be exempt from paying dues in 2020.

* Society for Human Resource Management Member #

* SHRM membership through

Enrollment as Business Resource Member: Qualifies for introductory paragraph on Website, with logo, plus link to your URL.

NOTE: SHRM membership must be applied for separately. You may apply and get information at: http://www.shrm.org. When
obtaining SHRM membership, please designate RVHRA as your chapter affiliation (#606). Your designation provides SHRM
funding to RVHRA based on that affiliation. Check the SHRM web site for special programs for new members!

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