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Middle Initial: |
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Last Name: |
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Suffix: |
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Professional Certifications: |
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e-Mail Address: |
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Mailing List e-Mail Address: |
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Office Phone: |
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Cell Phone: |
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Fax Number: |
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Company: |
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Title: |
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Address Line 1: |
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Address Line 2: |
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Mail Station: |
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City: |
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State: |
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ZIP Code: |
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Country: |
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Are you curretly a SHRM member? |
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If yes, what is you SHRM number? |
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Please enter a brief description of your current and professional experience. |
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How did you hear about TCHRA? |
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Please complete if you selected "Referral" or "Other": |
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Are you a previous TCHRA member? |
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If yes, what year? |
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Why are you interested in joining TCHRA? |
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For what type of membership are you applying? |
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Please list two (2) professional references: |
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Select those items for which you have responsibility on your current job: |
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In what industry do you currently work? |
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Are you currently engaged in placement activities for profit? |
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To what other professional organizations do you belong? |
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How many years of experience do you have in HR? |
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Current level in your organization: |
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How many employees are in your total organization (including site outside Minnesota and the United States)? |
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How many employees does your HR group serve? |
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Select the item which best describes your work location: |
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Number of full-time HR Staff (includes managers, professionals, and administrative support; does not include temporary staff or interns, co-op students, etc.): |
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In which of the following areas do you have expertise that you would like to share with others? |
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School Name: |
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Graduation Date: |
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Degree Type: |
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Full-time Student: |
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If not, what percent of full-time are you enrolled? |
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What is your highest level of educations? |
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What was your major? |
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Credits: |
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Do you have an advanced degree? |
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The following information is requested for record keepingpurposes only. The information will not be used by TCHRA as criteria for determining membership prior to asking gender, age, etc. questions.
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Age: |
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Gender: |
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Disabled/Veterans Status: |
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Race (select all that apply): |
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Password: |
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Confirm Password: |
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Password Hint: |
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