Membership Application
Please complete the below form if you would like to become a member of the Pee Dee SHRM Chapter.
SHRM Pee Dee Chapter
- Membership Application -
Name: ____________________________________
__________ New Member __________ Renewal
National SHRM Member #: ___________________
E-mail: ___________________________________
Certification: PHR SPHR GPHR
Company: _________________________________
City, State, Zip: __________________________________________________________
Title: _____________________________________
Industry: __________________________________ Number of Employees: _________
Phone #: ___________________________________
Membership Types
- Professional Member - Membership shall be limited to (a) those individuals actively engaged in bona fide human resources administration (at the exempt level) for at least three years and who devote at least 50% of their time to personnel, human resources or industrial relations functions: (b) faculty members holding an assistant, associated or full professor rank in personnel, human resources or industrial relations of their specialized phases at an accredited college or university and who possess at least three years responsible experience at this level of teaching; (c) full-time consultants with at least three years experience in the field of human resources.
- Associate Member - Individuals in non-exempt human resource management positions as well as those individuals who do not meet the general member category, but who demonstrate a bona fide interest in human resource management and the mission of the Chapter. Associate members may not vote and may not hold office in the Chapter.
- Student Members - Individuals who are actively enrolled in human resources degree programs at the college or university level. Student members may not vote and may not hold office in the Chapter.
Application for Membership
This application for membership shall be reviewed by the Vice President for Membership and approved by the Board of Directors. The SHRM Pee Dee Chapter shall afford new members full membership rights from the date of application approval. There shall be no discrimination in individual memberships because of race, religion, sex, age, national origin or handicap.
Membership Commitment
I hereby apply for membership in the SHRM Pee Dee Chapter and agree to pay the current application membership dues and chapter fees for events or programs that I attend. I agree to honor the purpose of the organization and abide by its constitution and By-Laws. I understand that using my membership as a means to solicit business is strictly prohibited and that use of the membership roster for purposes outside Chapter business will require Board approval. I further understand that failure to honor this policy could result in the termination of my membership.
Signed: __________________________________________ Date: _______________________
Chapter Growth Through Referrals
Do you know of other HR professionals who might be interested in Pee Dee SHRM membership?
Name: _________________________________
Company: ______________________________
Phone: _________________________________
Email: _________________________________
Recommendations for Success
Please list any good speakers or topics that you would like at our monthly meetings or summer seminars:
Please list any comments or suggestions that you would like to make:
Please return the completed membership application to:
SHRM-Pee Dee Chapter, PO Box 7392, Florence, SC 29502-7392
PDSHRM use only
Application Decision: __________________ Applicant Notified: _____________________
Date Payment Received: ________________ Check#: Database: _________
Annual Membership for January 1, 2015 - December 31, 2015
- $25.00 - Chapter Membership if you are a National Member of SHRM
(Your national SHRM membership ID# required ___________ )
- $50.00 - Chapter Membership if you are not a National Member of SHRM
Name
Employer
Address
City, State, Zip Code
Telephone Number
Please complete and mail a copy of this invoice along with your check made payable to SHRM-Pee Dee Chapter, PO Box 7392, Florence, SC 29502-7392.
Use this email version for a company invoice. If you have any questions, please contact Connie Lee, Treasurer, via email at ConnieLee@sc.rr.com
