LCAHRM Application

MEMBERSHIP TYPE:

	PROFESSIONAL MEMBER: To be eligible for professional membership, individuals must meet one of the following criteria: Be actively engaged in human resources in an exempt position as defined by the Fair Labor Standards Act classification; Be a faculty member in human resources or its related specialties at an accredited college or university AND hold membership in the Society for Human Resources Management (SHRM); Be actively engaged as a consultant in human resources AND hold membership in the Society for Human Resources Management (SHRM); Be an attorney who counsels and advises management clients exclusively on matters relating to human resources AND hold membership in the Society for Human Resources Management (SHRM). Fee: $40.00
	Please enter your National SHRM Membership #:
	GENERAL MEMBER: To be eligible for general membership, individuals must meet one of the following criteria: Be an individual who meets a criterion for Professional membership but does not hold membership in the Society for Human Resources Management (SHRM) as required. Be actively engaged in human resources in a nonexempt position as defined by the Fair Labor Standards Act classification. Be in an exempt position as defined by the Fair Labor Standards Act classification where human resources is a significant but not a major part of job responsibilities (i.e., a vice president who oversees the human resource function of a business, or a branch manager or principal of a staffing or placement firm.) Be an individual whose current employment status does not meet membership criteria, but whose education, employment or other background in human resources would merit special consideration by the Board provided that primary job responsibilities do not involve soliciting the members (i.e., product customer service representatives, or sales representatives for human resources products). Fee: $50.00
	STUDENT MEMBER: To be eligible for student membership, individuals must be full-time students attending an accredited college or university and be enrolled in a prescribed program in human resources or related courses of study. Fee: $10.00
The membership year runs from July through June.

EMPLOYMENT INFORMATION:
Employer Name:
Type of Business: (Check One)	Manufacturing (MF) (Product-) Wholesale (WH) Financial Services (FS) Health/Medical (HM) Real Estate (ES) Utility (UT) Insurance (IN) Agricultural Product/Service (AG) Construction Electronics (EL) Legal Services (LS) Printing (PR) Media (ME) Retail (RE) Hospitality (HO) Education (ED) Transportation (TR) Other
# of Employees Company Wide: 0-50   51-100   101-250   251-500   501-1000   Over 1000
# of Lancaster County Employees: 0-50   51-100   101-250   251-500   501-1000   Over 1000
# of Employees in HR Department:
Category That Best Fits Your Position:	Select: Highest Ranking HR Employee Manager Generalist/Administrative
If "Highest," Please Specify:
Title:
Main Responsibilities:
Business Address:
City:
State:
Zip:
Work Phone:
Work Fax:
Email:*
If student member, please list college and major:
I prefer to receive mail at:	Home   Work
My position status is:	Exempt   Non-Exempt
The number of years experience I have in the Human Resource profession:
Less than 1    1 to 2    3 to 6    7 to 10    11 to 15    Over 15
Highest Degree Earned:
My present area of concentration is: (please limit two)
Affirmative Action/EEO Benefits Communications Compensation Generalist Labor Relations	Organizational Development Public Affairs/Community Relations Safety Staffing & Recruitment Training HRIS
Are you interested in receiving seminar information from affiliated chapters?
Yes    No
Payment Method:
Check    Credit Card
By submitting this application, I hereby apply for membership and agree to adhere to the code of ethics and actively support LCAHRM. Violation of the Code of Ethics may result in removal from the LCAHRM and forfeiture of dues.
Disagree    Agree
This application will be submitted to our Membership Committee and presented at their monthly meeting. You will receive a letter of welcome upon completion of the approval process.