2020 Lakeshore Area Human Resources Association Membership Application
Please complete the below information to submit your membership for 2020.  An invoice for either check or credit card will be sent to you via email once your application is processed.
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About You
First Name
Middle Initial
Last Name
Membership Application for:
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If you are currently a member of SHRM National, what is your SHRM ID number?
Do you hold any certifications?
About Your Employment
Job Title
Employer
Direct Supervisor
Supervisor's Email
Business Address
Business Mailing Address
City
State
ZIP Code
Work Email *
Work Telephone
Contact Information
Home Address
City
State
ZIP Code
Personal Email
Home Phone
LAHRA Involvement
Please indicate any LAHRA core leadership committee(s) you would be interested in participating in
Do you have interest in a board position?
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Do you have interest in becoming SHRM-CP or SHRM-SCP certified?
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Sign and Date
By typing my name below, I hereby apply for membership in the Lakeshore Area Human Resources Association and agree to pay the current applicable membership dues.  I pledge to uphold and abide by the by-laws and to assist in carrying out the objectives of the Chapter. *
Today's Date *
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