2011-2012 Membership Application

Membership Type: *

Individual Membership:$40, includes annual membership fee. Individual meeting costs not included.

Individual Membership Bundle:$160, includes annual membership fee and all monthly meeting fees. RSVP required for all monthly meetings.

Student Membership: $30, includes annual membership fee. Individual meeting costs not included. Must be able to provide proof of full time student status.

Multi-Employee Membership: $30 per person, includes annual membership fee. Individual meeting costs not included. Minimum of 3 employees and all memberships must be purchased at the same time to qualify for discount.

Multi-Employee Bundle Membership: $150 per person, includes annual membership fee and all monthly meeting fees included. Minimum of 3 employees and all memberships must be purchased at the same time to qualify for discount. RSVP required for all monthly meetings.

Member Name(s): *

Please enter the member name or names if opting for a multi-employee membership.

Job Title(s): *

Name of Organization: *

# of employees within the scope of your responsibility: *

Mailing Address: *

Phone Number: *

Fax Number:

E-Mail: *

Organization Web Site Address:

Are you a new or returning member?: *

New

Returning

If you are a new member, how did you hear about CMHRA?:

How long have you been employed as an HR professional?: *

If certified, please indicate your certification:

PHR

SPHR

GPHR

Are you a current member of the Society for Human Resource Management (SHRM)?:

Yes

If you are a member of SHRM, please notify SHRM of your affiliation with CMHRA.

Please provide your SHRM ID if you are a SHRM member::

CMHRA Membership

Central Maine Human Resource Association