HRPS-WNE Human Resource Planning Society- Of Western New England

Membership Form

Please complete the following information to apply for HRPS-WNE membership. Some of the information will be included in the HRPS-WNE Annual Membership Directory.

DUES: $395 for annual fee, prorated to $100 if applying for half-year membership after September. Special Consideration is available for small non-profit organizations with a total number of employees under 150.

Members who recruit a new member for 2010 receive a discount of 25% off membership in the succeeding year after the new member has joined.

Personal Information
Salutation:
First Name:
Last Name:
Nickname for badge:
Title:
Organization:
Organization Type:
Primary Mailing Address:
City:
State:
Zip:
Business Phone:
Business Fax:
Business E-mail:
Web Site/URL:
Referred By:
Optional Home Address
Home Address:
City:
State:
Zip:
Home Phone:
Home Fax:
E-mail:
Professional Information
Number of years in HR:
Credentials/Designations:
Please choose the category that best describes your current position within your organization:

Number of years at executive level:
Organization Information
Type of Industry:
Types of Products or Services:
Company Revenue:	in
Number of Employees:
As a consultant:
Number of years in consulting:
Types of services offered:
Volunteer Opportunities Listed below are four committees that assist the Board of Directors in achieving HRPS-WNE goals each year. If you would like to dedicate some of your time, please select an appropriate choice and contact the chairperson for more information:
Membership Committee:
Programs Committee:
Finance Committee:
Learning Committee:


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