Central Coast Human Resource Association - Membership

Membership - Join CCHRA

Application

General Information Agreement: Membership year is January 1 through December 31. New member applications are accepted throughout the year. For new members who apply for membership in November or December, the dues payment of $85.00 is good for membership for the remainder of the year and the following calendar year. Membership is on an individual, not company basis and membership cannot be transferred to another person. For your reference, our tax ID# is 77-0061839, non-profit.

2010 CCHRA Membership Application or submit your application on-line below

Note: You will need the Preferred Email address and Password you enter below to access the Member Only sections of the website.

Please complete all application fields for your application to be reviewed.

First Name:

Middle Name:

Last Name:

HRCI Status:

Job Title:

Preferred Email:

Password:

Confirm Password:

Personal Contact Information:

Alternate Email:

Home Address:

Apt/Suite:

City:

State:

Zip:

Home Phone:

Home Fax:

Company Information:

Company:

Description:

Website Address:

Address:

Apt/Suite:

City:

State:

Zip:

Phone:

Fax:

Number of years in current position


Number of years in the profession


Total Number of Employees


Total Number of Union Employees


Name of Union Local


Briefly describe the level/scope of your present position



Please list the other professional associations to which you belong



If you were referred to CCHRA, please tell us who referred you.


Please identify your area(s) of specialty (check as many as apply):
	HR Generalist Employment/Recruitment Benefits Compensation Labor/Industrial Relations Training/Development Organizational Development Legal Health, Safety Security Employee Assistance Programs Employee Relations Communications EEO/Affirmative Action HRIS Research Consultant Owner/President/Executive International Policy International Relocation Visas/Immigration Other

If other, please specify below:


Are you a current member of SHRM?
	Yes No

If yes, please provide your SHRM member number:


Membership Dues are $85 (proceed to the next page after hitting submit for payment instructions)

Please enter the security code shown

By clicking submit, I hereby apply for membership in the Central Coast Human Resource Association (CCHRA). I recognize and accept the responsibilities incumbent upon me as a member of the human resource management profession. I agree to abide by the by-laws and the Code of Ethics and to assist in furthering the objectives of the Chapter.

Central Coast Human Resource Association
P.O. Box 1923
Seaside, CA 93955
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