SHRM PRIMARY CHAPTER DESIGNATION CHAPTER - SHRM-LI

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SHRM PRIMARY CHAPTER DESIGNATION
CHAPTER 213
SHRM-LI CHAPTER, INC.
AREA 1
I hereby designate the above-named Chapter as my primary Chapter for
SHRM membership coding purposes. I understand that:
(1) This in no way precludes membership in other Chapters.
(2) This allows SHRM to list my membership to this Chapter for
statistical reporting and financial support program purposes only.
MEMBERSHIP CLASSIFICATION (See Back) (If Student Check Here___)
Society for Human Resource Management
LONG ISLAND CHAPTER, INC.
Chapter No. 213 – 100% National Chapter
Silver Excell Award Winner (2010 & 2011)
Federal I.D. # 11-3051329
PROFESSIONAL: ______
GENERAL: ______
ASSOCIATE: ______
NAME______________________________TITLE________________
CERTIFICATION (PHR, SPHR, GPHR, OTHER)__________________
2015 OFFICERS
REPORT TO_________________________TITLE________________
PRESIDENT
Christel Colón SPHR, SHRM-SCP
Brookhaven National Laboratory
President@SHRMLI.org
COMPANY_______________________________________________
COMPANY ADDRESS_____________________________________
PRESIDENT ELECT
Danielle C. Barry SPHR, SHRM-SCP
Sportime Clubs, LLC
PresidentElect@SHRMLI.org
TREASURER
Lisa Dippel, PHR
Posillico
Treasurer@SHRMLI.org
SECRETARY
Jennifer Carey SPHR, SHRM-SCP
Multi Packaging Solutions
Secretary@SHRMLI.org
BOARD OF DIRECTORS
Robin McConnell
Annette Perry PHR, SHRM-CP
Robert Potorski
Doug Silverman
Executive Director/Conference Producer
Linda B. Selden-Paduano
SHRM-Long Island
449 Pulaski Road
Greenlawn, NY 11740
(631) 262-8807 (Phone)
(631) 262-8803 (Fax)
ExecutiveDirector@shrmli.org
(Number and Street)
________________________________________________________
(City, State and Zip Code)
PHONE__________________________FAX____________________
E-MAIL ADDRESS________________________________________
MEMBER’S SIGNATURE__________________________________
(Member must sign to validate)
MEMBER’S NATIONAL ID NO.____________________________
HOME ADDRESS_________________________________________
(Number and Street)
________________________________________________________
(City, State and Zip Code)
HOME PHONE___________________________________________
HOME E-MAIL ADDRESS_________________________________
DATE____________MAIL SHOULD GO TO MY: HOME___OFFICE___
(Please check one)
Please give a brief description of the services/products provided by your firm.
______________________________________________________________
______________________________________________________________
Please return by mail to:
or FAX to: (631) 262-8803
Linda B. Selden-Paduano, Executive Director
SHRM-Long Island Chapter, Inc.
449 Pulaski Road, Greenlawn, NY 11740
SOCIETY FOR HUMAN RESOURCE MANAGEMENT
LONG ISLAND CHAPTER, INC.
MEMBERSHIP CLASSIFICATIONS
Professional
Membership:
Individuals who are engaged in the profession of human resource
management and who meet one of the following criteria:
i. Possess at least three (3) years of exempt-level human
resource management experience.
ii. Are certified by the Human Resource Certification Institute.
iii. Are faculty members holding assistant, associate or full
professorial rank in human resource management or any of its
specialized functions at an accredited college or university and have at
least three (3) years of experience at this level of teaching.
iv. Are full-time consultants with at least three (3) years
experience as a practitioner in human resource management.
v. Are full-time attorneys with at least three (3) years experience
in counseling and advising clients on matters relating to the human
resource profession.
Professional Members may vote and hold office in the SHRM-LI.
Professional Members shall be a National Member in good standing and
will be responsible for payment of full SHRM dues at the prevailing rate
at each annual renewal.
General
Membership:
Individuals who are engaged in the profession of human resource
management in an exempt position but do not meet the requirements of
Professional Membership.
General Members have the right to vote, but may not hold office in the
SHRM-LI. General Members shall be a National Member in good
standing and will be responsible for payment of full SHRM dues at the
prevailing rate at each annual renewal.
Associate
Membership:
Individuals in non-exempt human resource management positions, plus
persons who do not meet the qualifications of the other classes of
membership, but who are interested in the field of human resource
management, or are part of an appropriate governmental or educational
service.
Associate members, as defined herein, shall not have voting rights, shall
not be eligible to hold elective offices, shall be a National Member in
good standing, and will be responsible for payment of full SHRM dues at
the prevailing rate at each annual renewal.
Student
Membership:
Individuals who hold a SHRM Student Membership can align with the
Long Island Chapter to receive many special benefits.
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