Complete this on-line application and click the "Submit" button at the bottom.  Your application will be filed electronically.  You will be advised of it's approval by e-mail, fax, or U.S. Mail and be invoiced for the $25.00 membership fee at that time.

Tab between fields.  Some fields are required.

Name
Title
Organization
Office Phone
Fax
E-mail
Business Street Address
or P.O. Box No.
City
State
Zip
Your organization's primary
business or function
% of your time spent in
HR related activities		 %
Years in HR Management
or Administration		 (e.g., 1.5 = 18 months)
What is your interest in the field
of Human Resource Management
Member of Society for Human
Resources Management (SHRM)		 YES
NO
If so, SHRM membership No.
If not, do you want SHRM
membership information sent		 YES
NO
Human Resource Certification PHR
SPHR

STOP!  Print a copy of this application before you click the "Submit" button.

Please contact John N. Barr, CBP by phone: 330-308-5720 or 800-227-2665 ext 286 or via email at jbarr@bjvs.k12.oh.us, if you have any questions.