Ohio SHRM Chapter application for web page(s) on SHRM Ohio State Council Web Site
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Print this form by clicking your browser's Print button or select File/Print from the menu line. Complete the form and deliver, mail, fax, or e-mail to: State Council Technology Director/Mike Medoro; Aspect Marketing and Communication / PO Box 450802; Cleveland, OH 44145 Phone:440-899-2242/Fax:216-927-1150 or email at mgmedoro@aspect-marketing.com |
| Chapter Name: | ||
| Chapter Acronym: | ||
| Chapter Contact for web site questions: | ||
| Phone: | Fax: | |
Chapter Mission, Goals, Objectives:
Chapter Board Members/Officers (change position title as appropriate for your chapter):
| President Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip: | ||
| Phone | Fax | |
| Vice President Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip: | ||
| Phone: | Fax: | E-mail: |
| Secretary/Treasurer Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip | ||
| Phone: | Fax: | E-mil: |
| VP Membership Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip: | ||
| Phone: | Fax: | E-mail: |
| VP Programming Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip: | ||
| Phone: | Fax: | E-mail: |
Other Director or Officers You Want Listed:
| Position _______________________________ Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip: | ||
| Phone: | Fax: | E-mil: |
| Position _______________________________ Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip: | ||
| Phone: | Fax: | E-mail: |
| Position ________________________________ Name: | ||
| Company/Organization: | ||
| Job Title: | ||
| Company Address: | ||
| City, State, Zip: | ||
| Phone: | Fax: | E-mial: |
Meeting Information:
| Usual meeting day of the month: | Usual starting time: | Usual ending time: | |
| Are non-members welcome: | Usual cost: | ||
| Up-coming meeting schedule: | |||
| Date & Time | Location | Topic | Speaker |
| Would you like on-line event registration? | If so, who should receive the e-mail registration? | ||
Upcoming Special Programs (e.g., HRCI Prep Course, Seminars, Workshops):
| Date & Time | Location | Topic | Contact Information |
Membership:
| Application process (how does one
apply for membership?):
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| Contact Name: | |||
| Phone: | Fax: | E-mail: | |
| If you want your chapter membership application on your web site, please send an application form. | |||
| Would you like to have on-line membership application? | If so, who should receive the e-mail application? | ||
Special Requests and instructions (what else would you like to have on your site?):
| Signature: | Date: |