Please provide the following contact information:

Full Name:<%Response.write(Session("Error1"))%>

Professional Title:

Firm/Organization:

Mailing Address:

City:

State:

Zip:

Business Phone No:

Business Fax No:

Business E-mail Address:<%Response.write(Session("Error2"))%>

Business Website:

Type of Business / General Function:


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

Yes (My dues are paid through National)
No (Please make check payable to WKHRMA)

Do you have a SHRM membership number:


Please check appropriate membership:

Professional Member
I am (a) engaged in the profession of human resource management at the exempt level for at least three years; (b) certified by the Human Resource Certification Institute; (c) a faculty member holding an assistant, associate or full professor rank in human resource management or any of its specialized functions at an accredited college or university and have at least three years of experience at this level of teaching; (d) a full-time consultant with at least three years experience in the field of human resource management; or (e) a full-time attorney with at least three years experience in counseling and advising clients on matters relating to the human resource profession. (Professional members may vote and hold all offices in the Chapter.)

Associate Member:
I am in a non-exempt human resource management position or I do not meet the professional member category, but I demonstrate a bona fide interest in human resource management and the mission of the Chapter. (Associate members may vote and hold Secretary, Treasurer, or Director offices in the Chapter.)

Student Member
I am enrolled as a full time student in a degree program at the college or university level with an emphasis in human resources. (Student members may not vote or hold office in the Chapter.)

Please tell us about two topics or speakers you would like to see presented/addressed at our meetings:

Topic 1:
Topic 2:



Note: Upon clicking submit, your application will automatically be submitted to the Vice President of Membership. The VP of Membership will contact you by e-mail or telephone if any further information is needed.