MEMBERSHIP APPLICATION
(CHAPTER 206)
To submit your application for membership, please complete the following form.
Required fields are marked with an asterisk (
*
).
*
CONTACT EMAIL
*
CREATE PASSWORD
*
CONFIRM PASSWORD
Contact Information
*
FIRST NAME, MID.
[Ex:
Greta P.
]
*
LAST NAME
[Ex:
Smith
]
CERTIFICATION:
[Ex:
SPHR or PHR
]
Business Address Information
*
TITLE
*
COMPANY/ORGANIZATION
*
ADDRESS
*
CITY
*
STATE
Delaware
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - Washington D.C.
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Lousiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
*
ZIP
*
WORK PHONE
WORK FAX
Home Address Information
ADDRESS
CITY
STATE
Delaware
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - Washington D.C.
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Lousiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
ZIP
HOME PHONE
HOME FAX
Referred By
NAME:
ADDRESS:
EMAIL:
Where would you like your chapter information mailed?
Home
Work
Payment Method
Credit Card
Pay by Check
Membership Dues:
The Delaware Chapter Membership year runs from January to December.
*
Memberships must be renewed annually.
$65.00
GENERAL CHAPTER MEMBER
: Individuals engaged in the field of human resources management; any individual certified by the HR Certification Institute; any full time consultants involved in human resources services; or any individual who meets the definition of professional or general membership as stated by SHRM.
Chapter In-Transition memberships available. Contact Chapter Administrator or a Membership Chair.
$45.00
NATIONAL CHAPTER MEMBER
: Individuals who meet the criteria of the General Chapter Member AND are a current SHRM member. Every 5th member from the same organization is free.
Please provide your SHRM National Membership
#
and the SHRM Designation Form.
$65.00
ASSOCIATE CHAPTER MEMBER
:
National Membership Required.
Individuals outside the foregoing categories who demonstrate to the satisfaction of the Board of Directors a bona-fide interest in such work will be eligible for Associate membership. Associate Members must be members in good standing of SHRM.
Please provide your SHRM National Membership
#
and the SHRM Designation Form.
$10.00
STUDENT MEMBER
: Individuals who are students and are members of a student chapter affiliated with the Society.
$0.00
PAST PRESIDENT
: Delaware SHRM Chapter Past President
$300.00
PRE-PAYMENT OPTION
: Pay for the entire year of 11 meetings for the price of 10 ($30x10).
$500.00
PRE-PAYMENT OPTION WITH CONFERENCE
: Pay for the entire year of 11 meetings for the price of 10 ($30x10) and the 2 day State Human Resources Conference.
$
SHRM FOUNDATION DONATION
: Funds Human Resources research, supports professional development, invests in critical research, educational initiatives and HR resources and tools. Donations are tax-deductible.
