JOIN SHRM
Student Membership Application
Fields marked with an * are required. Your application cannot be processed without this
information. Please print legibly.
Education
*Academic Major:
Human Resource Management
Human Resource Development
Business Administration & Management
Industrial/Organizational Psychology
Labor Relations
MBA
MBA/HR
Organizational Behavior/Organizational Development
Other: _______________________________________________
*Degree:
Undergraduate Graduate Postgraduate
*Anticipated Graduation Date: ________ / _______
Month Year
*Currently enrolled in ________________ credit hours per
Semester Quarter Compressed term or during a 15-week
equivalency
Employment Status:
Not employed in a regular full-time HR position
Employed in a full-time nonexempt** (hourly)
HR position
Employed in a full-time exempt** HR position
U.S. Military active duty—Enlisted
U.S. Military active duty—Commissioned Officer
**As defined by the Fair Labor Standards Act (FLSA)
Demographic Information:
The completion of the following allows SHRM to track its membership
diversity and develop additional programs and services, including the
Young HR Professionals Network.
Date of Birth:
____________ / ___________ / ___________
MM DD YYYY
Gender: Female Male Undisclosed
Race/Ethnic Identification:
American Indian/
Alaskan Native
Asian
Black/African American
Hispanic/White Latino
Hispanic/Other Latino
Multicultural/Other
Native Hawaiian/
Pacific Islander
White
Membership Dues:
*SHRM membership is nonrefundable and nontransferable.
1-Year Student Membership: $40
*Please indicate method of payment:
Check Money Order (U.S. $/U.S. bank only)
Charge my: VISA MasterCard American Express
I authorize SHRM to charge my credit card $ ___________________
Credit Card #
Expiration Date
Name (as it appears on credit card)
Signature
Cardholder’s Phone
SHRM annual dues are not deductible as charitable contributions for
federal income tax purposes but may be deductible as necessary
business expenses except that, under IRC Section 162(e), 6% of
the SHRM annual dues are allocable to lobbying expenses and are
therefore not deductible. I understand my membership will not start
until SHRM receives and processes my application and payment.
I hereby apply for student membership in SHRM and agree to pay
the current applicable membership dues. I will abide by the SHRM
Code of Ethical and Professional Standards in Human Resource
Management as detailed online at shrm.org/ethics.
I certify that the information contained within this application is
accurate and correct and I meet the eligibility requirements for
student membership.
*Signature/Date
ONLINE
(Credit card payment only.)
shrm.org/join
PHONE
(Credit card payment only.)
800.283.7476, option 3 (U.S. only),
or +1.703.548.3440, option 3
MAIL
(Allow 3-4 weeks for processing.)
SHRM
P.O. Box 79482
Baltimore, MD 21279-0482
USA
FAX
(Allow 5-7 days for processing.)
+1.703.535.6490
Please send completed application with your payment
click to sign
signature
click to edit
JOIN SHRM
Student Membership Application
Fields marked with an * are required. Your application cannot be processed without this
information. Please print legibly.
Current or previous SHRM member?  Yes Enter 8-digit membership # here: _______________
No
*Name: _______________________________________________________________________
First M.I. Last
*College/University: _____________________________________________________________
*Chapter #: ____________________________________________________________________
(If no chapter exists at your school, please enter 5000.)
Primary Address:
CAMPUS HOME
CAMPUS
*On-Campus (School) Address: ___________________________________________________________________________
*Address/Apt. # _________________________________________________________________________________________
*City: ______________________________________ *State/Province: ______________ *Zip/Postal Code: _________________
*Country: _________________________________________
*E-mail: ___________________________________________ *Phone #: ___________________________________________
HOME
*Home (Permanent) Address: _____________________________________________________________________________
*Address/Apt. # _________________________________________________________________________________________
*City: ______________________________________ *State/Province: ______________ *Zip/Postal Code: _________________
*Country: _________________________________________
*E-mail: ___________________________________________ *Phone #: ___________________________________________
( )
( )
Please do not share my mailing address with other HR-related organizations.
OVER to complete both sides of application
.
ONLINE
(Credit card payment only.)
shrm.org/join
PHONE
(Credit card payment only.)
800.283.7476, option 3 (U.S. only),
or +1.703.548.3440, option 3
MAIL
(Allow 3-4 weeks for processing.)
SHRM
P.O. Box 79482
Baltimore, MD 21279-0482
USA
FAX
(Allow 5-7 days for processing.)
+1.703.535.6490
Eastern Michigan University
5041