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IndySHRM Transitional New Membership Application

We invite you to join IndySHRM. Just fill out the secure form below to join.

Cost of Transitional Membership is: $80

Transitional Membership: A one-time offering to HR professionals who are unemployed at the time of renewal or who would like to join IndySHRM. This offer is good for the calendar year in which the transitional fee is paid. Transitional membership fee is one-half the renewal rate for current members or one-half the full membership rate for new members. This transitional membership is effective 3/1/09 and is not retroactive to those who have already renewed or joined through our regular membership category.

IndySHRM Transitional New Membership Application

Name

Certification (PHR, SPHR, GPHR)

Previous Employer

Previous Employer Phone
Name of IndySHRM member who recruited you(if n/a leave blank):

Current Contact Information

Home Address
City
State
Zip
Phone
Permanent/Home E-Mail
Are you a member of SHRM?
If yes, what is your SHRM membership number?
Demographic Information

What is your gender?
Male
Female

What is your ethnicity?
Multicultural
Native American/Alaskan Native
Asian/Pacific-Islander
Black
Hispanic
White
other:

What is your geographic location(s) of preference for meetings?
North
Northwest
Northeast
Downtown
West
East
South
Southwest
Southeast


Membership type:
Professional
Vendor
Consultant


Number of experience in HR - whole years only

Membership Type

New Transitional Member - $80 (expires 12/31/2010)

Membership Type

I would also like to join the IndySHRM SIG: SMA Central Indiana(no extra cost to join) click here for more information on SMA-Central Indiana

I would also like to join the IndySHRM Consultants Forum Special Interest Group. click here for more information on the Consutlatns Forum

Payment Method

Please charge my Visa or MasterCard
American Express

Mailing Check (Make check payable to: IndySHRM, 8945 South Street, Fishers, IN 46038)

Credit Card #
Expiration Date
Name on Card
Amount
Any specific
comments/request
s?
Print this form then
Click the
submit button

Please wait until you get a confirmation screen
.

 

 

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Human Resource Association of Central Indiana
Affiliate of the Society for Human Resource Management
9840 Westpoint Drive, Suite 260
Indianapolis IN 46256
Phone: (317) 841-3236 Fax: (317) 841-8206
e-mail: information@hraci.org