SHRM Member HRMA Membership Application

Membership Levels

Please select the appropriate membership level below. You will have a chance to review your selection and the corresponding dues on the next page prior to your credit card being charged.

Membership Levels *

SHRM Member HRMA Membership - $ 50.00

Total Amount

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

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Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

SHRM Member HRMA Membership Application

First Name *

Middle Name

Last Name *

Job Title *

Personal Email Address *

Home Address *

Suite/Apt.

City *

State *

Country *

Zip Code *

Phone *

Fax

Please enter contact information for your company.

Company Name *

Company Description

Website

Company Address *

City *

State *

Zip *

Country *

Phone *

Fax

Company Information by Industry *

Other (industry)

Number of Employees in Company *

SHRM Member?

Yes No

Please tell us a little about yourself.

Years of Human Resource experience *

SHRM Number

Enter the name of the HRMA member who referred you

Certification *

Areas of Expertise

One of the benefits of being a member of HRMA is the opportunity to share information and expertise with other HR Professionals. If you are interested in being a resource for members of HRMA, please select all areas that apply to you.

Please read and agree to the statement below. *

Yes No

By submitting this application I pledge to practice and uphold the Code of Conduct and help carry out the Objectives of the Association. I agree not to use my membership in this organization, and my privileged access to the Membership Directory, for direct solicitation of members or for monetary gain.

Interested in Volunteering?

Yes

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Click "Review HRMA Application" to review everything you've entered.