Northern New Mexico Human Resource Association
(NNMHRA)
PO Box 32874
Santa Fe, NM 87594
2016 MEMBERSHIP APPLICATION/RENEWAL
Please complete and return this form along with your payment to the above address. You may also pay with PayPal through our website and email the application to us at .
NNMHRA also encourages you to become a member of our national professional association, the Society for Human Resource Management (SHRM). SHRM membership offers many opportunities for professional development and information regarding current HR issues. SHRM membership information is available at each chapter meeting or visit
- MEMBER INFORMATION
Name: Click here to enter text. Job Title: Click here to enter text.
Company:Click here to enter text.
Mailing Address:Click here to enter text.
City: Click here to enter text. State: Click here to enter text. Zip: Click here to enter text.
Business Phone:Click here to enter text.Business Email:Click here to enter text.
Certifications:Click here to enter text.
Home Address:Click here to enter text.
City:Click here to enter text. State:Click here to enter text. Zip:Click here to enter text.
Home/Cell Phone:Click here to enter text. Personal Email:Click here to enter text.
Preferred Method of Communication (Business or Personal):Click here to enter text.
- TYPE OF MEMBERSHIP (Please check membership category)
SELECT ONE:
☐ RENEWAL– Last NNMHRA membership year: Click here to enter text.
☐ NEW MEMBER
SELECT ONE:
☐ Regular Membership: 100% of your duties is human resource related, and you have atleast three (3) year’s work experience in the human resource field.
☐ Associate Membership:Less than 50% of your duties are human resource related, OR youhave less than three (3) year’s work experience in the human resource field, OR you have a bona-fide interest in human resource management.
☐ Corporate Membership: Up to five (5) members may join from a corporation. Eachmember should be listed as a regular or associate member. (Provide contact information for each corporate member in Section V.
III. DEMOGRAPHICS:
CLASSIFY YOUR COMPANY/ORGANIZATION BY INDUSTRY:
☐ Manufacturing ☐ Government ☐ Consultant ☐ Utilities ☐ Education☐ Retail
☐ Hospitality/Entertainment ☐ Research & Development ☐ Financial
☐ Medical ☐ Other (Please specify): Click here to enter text.
TOTAL NUMBER OF EMPLOYEES IN YOUR COMPANY/ORGANIZATION:
☐ 1 – 25 ☐26 – 75 ☐ 76 – 150 ☐ 151-300 ☐ 301 – 500 ☐ 501-1000 ☐ Greater than 1000
IV. OPPORTUNITIES:
☐ I am willing to be a resource for other members for networking purposes in my particular area of expertise which includes: Click here to enter text.
☐ I would like to volunteer for an NNMHRA committee or special project: Click here to enter text.
V. AMOUNT DUE:
I will pay for my membership ☐ with a check ☐ through PayPal.
☐ $45 - I am a current member of SHRM
You must provide your SHRM membership number: Click here to enter text.
☐ $60- I am not a member of SHRM
☐ $175 - Corporate Membership (Up to 5 members- Please provide additional information below.)
Provide contact information for up to 4 additional corporate members IN ADDITION to the member listed under Section I:
Name: Click here to enter text.
Title: Click here to enter text.
Business Phone: Click here to enter text.Business Email: Click here to enter text.
Name: Click here to enter text.
Title: Click here to enter text.
Business Phone: Click here to enter text.Business Email: Click here to enter text.
Name: Click here to enter text.
Title: Click here to enter text.
Business Phone: Click here to enter text.Business Email: Click here to enter text.
Name: Click here to enter text.
Title: Click here to enter text.
Business Phone: Click here to enter text.Business Email: Click here to enter text.