TRI-COUNTY HUMAN RESOURCE MANAGEMENT ASSOCIATION
Charleston, SC
MEMBERSHIP APPLICATION 2016
Applicant Information
Name ____________________________
Phone#: _________________________
Title: ____________________________
Fax#: ____________________________
Company Name: ___________________ E-mail: ___________________________
Mailing Address: ___________________ Certifications: _ PHR _ SPHR _ GPHR_Other
National SHRM Member Number: _________
___________________ _ Current Member _ Former Member
How were you referred to our Chapter? ________________________
Voluntary Statistical Data
GENDER: ____male ____female
AGE RANGE: ____ under 21 ____ 21-29 _____30-39 ____40-49 ____50-59 ____60 or older
RACE/ETHNIC GROUP:
___ Hispanic or Latino ___ White (Not Hispanic or Latino) ___ Black or African American ___ Asian
___ Native Hawaiian or Other Pacific Islander ___ American Indian or Alaska Native ___ Two or More Races
Membership Categories
TCHRMA membership is granted on an individual basis. Memberships are non-transferable to
other individuals. Please select one of the following:
____ A. Professional Member
Membership shall be limited to (a) practitioners of human resource management at the exempt level for at least three years;
(b) certified by the Human Resource Certification Institute; (c) faculty members holding an assistant, associate or full
professor rank in human resource management or any of its specialized functions at an accredited college or university and
have at least three years of experience at this level of teaching or less years of experience if they serve as an advisor to a
student human resource club or chapter; (d) full-time consultants with at least three years experience practicing in the field
of human resource management; and/or (e) full-time attorneys with at least three years experience in counseling and advising
clients on matters relating to the human resource profession. Professional members may vote and hold office in the chapter.
____ B. Associate Member
Membership shall be limited to those individuals in non-exempt human resource management positions as well as those
individuals who do not meet the qualifications of the other classes of membership, but who demonstrate a bona fide interest
in human resource management and the mission of the Chapter. Associate members may not vote or hold office in the
Chapter.
____ C. Student Member
Membership shall be limited to those individuals who are (a) enrolled either as full-time or part-time students, at freshman
standing or higher; (b) enrolled in the equivalent of at least six (6) credit hours; (c) enrolled in a four-year or graduate institution
and/or a consortium of these or a two-year community college with a matriculation agreement between it and a four-year
college or university which provides for automatic acceptance of the community college students into the four-year college
or university; (d) able to provide verification of a demonstrated emphasis in human resource management subjects, and (e)
able to provide verification of the college or university’s human resources or related degree program. Student members may
not vote or hold office in the Chapter.
____ D. Affiliate members:
Membership shall be limited to those individuals whose companies provide products and/or services directly to the
professional human resource community and who hold a current SHRM membership. No more than ten percent (10%) of
the Association’s membership may fall into this category; because of this limit, no more than one person from any one
organization may be an affiliate member. Affiliate members may not vote or hold office in the Association.
Position/Company Information — Please complete the following:
A. Position Function
___ HR Generalist
___ Employment/Recruitment
___ Benefits
___ Compensation
___ Labor/Industrial Relations
___ Training/Development
___ Organizational Development
___ Legal
___ Health/Safety/Security
___ Employee Assistance
___ Employee Relations
___ Communications
___ EEO/Affirmative Action
___ HRIS
___ Research
___ Consultant
___ Administrative
___ Other - Specify
___ 100 -199
___ 200 – 399
___ 400 - 699
___ 700 - 999
___ 1,000 +
___ Consultant
B. Company Size
___ Less than 25
___ 25 - 49
___ 49 – 99
___ N/A
C. Business/Industry Type
___ Agriculture, Forestry, Fishing
___ Manufacturing
___ Transportation
___ Utilities
___ Wholesale/Retail Trade
___ Banking/Finance
___ Services
___ Health/Health Care
___ Real Estate
___ Educational Services
___ Government
___ Construction
___ Media
___ Oil/Gas
___ Library
___ Other - Specify
____________
____________
I hereby apply for membership in the Tri-County Human Resource Management Association and agree to pay
the applicable membership dues. In applying for membership, I understand that my membership will not start
until I am notified by the Association. I also agree to practice and uphold the ethics of the Association, abide by
the By-laws and assist in carrying out the objectives of the Association.
Membership Year: January 1 - December 31
Annual Dues (select one):
___ $65.00 for Professional or Associate member if not a National SHRM member
___ $55.00 for Professional or Associate member if a National SHRM member
(MUST include SHRM # on page 1)
___ $95.00 for Affiliate Members (MUST be a SHRM (National) member – include SHRM # on page 1)
___ Free for Student Members
NOTE: As the number of Affiliate Members is limited, Affiliate members must email their membership
applications to: timmcvick@gmail.com and mail their checks to the address below or make payment at
the next TCHRMA meeting. Affiliate membership is on a first-come, first-served basis until spaces are
filled.
_____________________________________________
Signature of Applicant
________________________
Date
Please make checks payable to: Tri-County Human Resource Management Association
(Taxpayer Identification Number 41-2244823)
Forward payment with application to: Tri-County Human Resource Management Association
P.O. Box 62722
North Charleston, SC 29419
For Membership Questions: Contact Tim McVicker at timmcvick@gmail.com. TCHRMA will invoice Members for bank
fees associated with returned checks due to insufficient funds in the bank account of a Member or the issuance of a Stop Payment by a
Member.
TCHRMA Use Only
Board Approval: Payment Information: Application Receipt Info:
__________________________________ _ Cash Amount ____________ Date ________________
__________________________________ _ Check Number ____________ Time________________