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NAHRA Membership Form

    Northern Arizona Human Resource Association (NAHRA) is an affiliate of the Society for Human Resource Management (SHRM).  Our primary mission is to provide educational and professional development opportunities to our members.

    Send completed membership application with check or money order (payable to NAHRA) to: NAHRA, PO Box 30972, Flagstaff, AZ  86003-0972. If paying by credit card, please contact Marketing Director at gwen.lasslo@encompass-az.org. Please leave your phone number & best time for a return call to take your credit card info via phone.  Do NOT provide credit card information via email. Applicants with Venmo, our account is:  @nahra! and either mail application to address above or email to gwen.lasslo@encompass-az.org.

    Annual Membership (Calendar Year: January-December)

    SHRM Member (SHRM # ______________/Exp. date_________)        $ 50.00

    Non-SHRM Member……………………………………………………        $100.00

    Student SHRM member #____________/Exp.date ______)     $25.00

    Student non-SHRM member                                                       $37.50

    Name:

    Title:

    Employer Name:

    Employer Address:

    Work Telephone:

    Work FAX Number:

    Work E-mail:

    Other E-mail:

    Would you like to receive reminders/notices via email?  Yes  No

    We all change jobs sometimes, please provide us with a home address so we are able to contact you in case you are no longer with the employer listed.

    Home Address:

    Certification:         SHRM-CP    SHRM-SCP       PHR             SPHR         GPHR     

    Other _______________

    How many years have you been a member of NAHRA?

    How many years have you been a national member of SHRM?

    Please indicate your interest and committed involvement in your Chapter by checking any of the committees listed:

      ___ Annual Conference     ___ Programs     ___ Membership     ___ Fund Raising     ___Newsletter  ___Board Member Interest

    Can you provide a name for a potential new NAHRA member?

    How did you hear about us?: ___________________________________

    Note:  Memberships are individual and non-transferable; NAHRA has no corporate or organizational memberships.  Memberships are effective for one year from the date of purchase and must be renewed annually.  NAHRA and/or SHRM occasionally make its member directory available to carefully selected organizations that may be of interest to its membership.

    ___Check here if you do not want your address released to these organizations.

     

     

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