Application for Membership

The Savannah Area Chapter of SHRM

I hereby apply for membership in The Savannah Area Chapter of the Society for Human Resource Management and agree to pay the current applicable membership dues. I recognize and accept the responsibilities incumbent upon me as a member of the Human Resources profession. I pledge to practice and uphold the Code of Ethics of the Society and agree to abide by the Bylaws and to assist in carrying out the objectives of the Society.

MEMBERSHIP
CATEGORY / [ ] Professional [ ] General [ ] Associate
FOR ASSISTANCE SEE THE LAST PAGE OF THIS APPLICATION
FOR DEFINITIONS OF THESE CATEGORIES / TODAY’S
DATE

Please type your information into the blank areas of the table:

LAST
NAME / FIRST
NAME / MIDDLE INITIAL
PREFERRED PREFIX (Mr., Mrs., Ms., Dr., etc.) / PREFERRED SUFFIX (Jr., III, PhD, etc.)
Certifications will be noted later.
TITLE
COMPANY
BUSINESS ADDRESS / BUSINESS PHONE
HOME ADDRESS / HOME PHONE
PREFERRED ADDRESS IN DIRECTORY / [ ]BUSINESS [ ]HOME
PREFERRED EMAIL ADDRESS
DID SOMEONE REFER YOU?
Please put name in this spot:

If you are a National SHRM Member, please provide your SHRM National Number

(Contact to get your number)

SHRM National Number

Please indicate any SHRM HRCI certifications you hold (PHR, SPHR, GPHR)

SHRM HRCI Certification
PHR,SPHR, GPHR / Year Certified/Re-Certified

Please indicate any other HR-related certifications that you hold (CCP, CEBS, CPT, etc.)

Other Certifications

Please place an X in the blank next to the level code which BEST fits your descriptive title:

President / Asst. Director or Asst. Manager
Vice President / Supervisor
Assistant V. P. / Human Resources Administrator
Director / Professor/Associate Prof/Asst. Prof
Manager / Other

Please place an X in the blank next to the status that applies to your current role:

Exempt / Non-Exempt

Please place an X in the blank next to the current occupation type that BEST describes your role:

Business/Industry / Faculty Member
Consultant / Retired
Temporary Employment Service / In Transition/Unemployed
Governmental Organization / Agent / Other (Please Specify):

Please RANK the functions in which you are most professionally engaged by typinga

1, 2, or 3 next to the top three functions you perform in your current role.

Benefits / Employee Relations
Compensation / Training & Development / OD
Employment / Recruiting / Generalist
Health, Safety & Security / Other (Please Specify):
Labor Relations

Please include the following information as requested:

Have you been a Savannah Area Chapter member before? / If yes, when?
Are you transferring membership from another Chapter? / If yes, where?
Total Years in Human Resources
Total Years of Exempt HR Experience
Describe your current Human Resources responsibilities and length of time in your current role.
Describe your prior Human Resources or related business experience.
(Include the type, length, location, and nature of these experiences)

You must complete and answer all of the questions in the application,

Incomplete questions may result in a delay of your consideration.

Please indicate below the membership category for which you

qualify based on the following descriptions:

Professional Membership
(Members meeting the requirements in this category have voting rights and may hold office) /
  • Individuals engaged in human resources management at the exempt level formore than 50% of their time, or
  • Individuals who are 100% responsible for the human resource function of their organization, or
  • HRCI Certified, or
  • Faculty members in HR, or
  • Full-time HR consultants with a minimum of three years HR experience, or,
  • Full-time attorneys who counsel or advise clients on matters relating to the HR profession.

General Membership
(Members meeting the requirements in this category have voting rights but may not hold office) /
  • Individuals engaged in human resources at a non-exempt level for more than 50% of their time who have at least three years experience as an HR practitioner, or
  • Individuals who have been awarded a Bachelors degree in Human Resources and were active in the SHRM student chapter and are engaged in human resources, or
  • Individuals who satisfy all the qualifications of professional membership except they are not currently employed, or
  • Individuals who are sponsored by the Vice President for Membership and approved by a vote of the Board.

Associate Membership
(Members meeting the requirements in this category do not have voting rights and may not hold office) /
  • Individuals who do not meet any of the other categories but are engaged in the profession of human resources in an organization that serves the H.R. practitioner either by providing a product or a service. This will include such providers as temporary and permanent placement agencies, recruitment services, outplacement services, rehabilitation services, relocation services, financial planning services, or other related services. Individuals who serve these firms as an internal human resources practitioner role and meet all the necessary criteria for professional membership will be classified as professional members.
  • Associate membership will be limited to either the owner or manager of the organization/company providing the product or service (as reflected in the paragraph above) or to the H.R. practitioner. There may be only one membership per organization/company.
  • Membership in the associate category is limited to not more than 15% of the total SAC membership.

APPLICANT CATEGORY / [ ] Professional [ ] General [ ] Associate
SIGNED / DATE

Electronic transmission binds in the same force and effect as if signed in person.

TSAC/SHRM Application for Membership1

Revised 01-2011