Student Application

Membership

Student Membership - $20.00 (USD)
Subscription period: 1 calendar year. No automatically recurring payments. Enrolled in at least 6 credit hours in a 4-year program with proof of HR emphasis/major – freshman level or higher. This membership is not for a person who is already working in a professional Human Resources role.

* First Name

Middle Name

* Last Name

* College

* Anticipated Graduation Date

* Email

* Phone

Primary Address

Primary Address 2

Primary City

State

Zip

Secondary Email Address

Secondary Address 1

Secondary Address 2

* Secondary City

* Secondary State

Secondary Zip

Secondary Phone

HRCI Certification Please type in actual certification initials (i.e. SPHR or PHR) not yes or no. If not certified, please leave blank.

SHRM Certification Please type in actual certification initials (i.e. SHRM-SCP or SHRM-CP) not yes or no. If not certified, please leave blank.

* National SHRM Member?

SHRM Member ID Number If you answered yes that you are a National SHRM Member, please enter your SHRM Membership Number here.

Name of Person who referred you to SRKA:

Who Pays for your Membership?

Self
Employer
Chapter Volunteer

Who pays for your meetings?

Self
Employer

What time of day do you like to attend events? Check all that apply.

Morning
Lunchtime
Social Hour

Members Log In
SRKA - SHRM Racine and Kenosha Area Chapter ID:

Password:

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