Peninsula Chapter of SHRM - Member Application

* Email

* First Name

* Last Name

Business Title

Company Name

Address

Address 2

City

State or Province

Postal Code

Country

* Telephone

Telephone 2

Certification (HRCI

Certification (SHRM)

* Please provide the email address associated with your National SHRM membership. Use "N/A" if you are not a SHRM member.

* Dual Member Chapter Designation

Yes, I have a SHRM National Membership and would like to designate the Peninsula Chapter # 0726 as my Primary Chapter.
Not Applicable, I am not a member of SHRM National.

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