Peninsula Chapter of SHRM - Student Membership Application

* First Name

Middle Name

* Last Name

Suffix

* College/University Name

Bryant & Stratton College
Christopher Newport University
Hampton University
Old Dominion University
Virginia Peninsula Community College
Other

If you selected 'Other' for the question above, please include the name and address of your college or university here

* Please enter your college/university issued email address. Must have an email address associated with a college or university to qualify for student membership

Please provide the email address associated with your SHRM membership (if applicable).

* Phone number

* Degree Program

* Major/field of study

Minor/concentration

* Current Academic Status

* Anticipated Graduation Date MM/DD/YYYY

* Are you a National SHRM Student Member?

Yes
No

* How did you hear about us?

College/University Staff
PENSHRM Board Member
PENSHRM Chapter Member
Co-worker or Classmate
LinkedIn or other Social Media
PENSHRM Website
Other

* Which of the following career areas are you most interested in?

Talent Acquisition/Recruiting
Employee Relations/Employment Law
Total Rewards/Compensation & Benefits
Training/Organizational Development
HR Technology/HRIS
Business Management
Other

* What are you hoping to gain from your PenSHRM membership? Select all that apply

Networking
Mentorship
Internship Opportunities
Job Opportunities
Professional Development
SHRM Certification Information
Volunteer Opportunities
Other

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