MISSISSIPPI VALLEY HUMAN RESOURCE ASSOCIATION (MVHRA)

2010 MEMBERSHIP APPLICATION

If  you are already a member and your information has not changed since last year, please check here.  

Please print your name below.  You will not need to complete the remainder of this form.  Thank you!

Name:                                                                                                                                    

Company/Organization:                                                                                                        

Position:                                                                                                                                 

Address:                                                                                                                                

Phone:                                                             Fax:                                     _____               

Email:                                                                                                                                    

Are you a SHRM Member?                 YES                 NO

            If yes, please provide your membership number                                                            

Do you currently hold a PHR certification?__________                       SPHR? ____________

Membership Dues:       $15.00 per calendar year for national SHRM members                                 $25.00 per year for non-SHRM members

Make checks payable to Mississippi Valley Human Resource Association and return to:

Laura Bailey, Treasurer

PO Box 1265

Burlington, IA 52601