Application - Delaware County Human Resource Association

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The Delaware County Human Resources Association in partnership with Villanova University is proud to offer Certificate
in Professional Human Resource Management- Spring 2011 course. Scholarship Application
The course helps prepare participants for the HR Certification Institute's national examination for the Professional in Human Resources (PHR®) or Senior Professional
in Human Resources (SPHR®) certification. Upon successful completion of the course, candidates will receive the certificate in Professional Human Resource
Management from Villanova University, along with 3.5 Continuing Education Units. For those taking the course for recertification purposes, successful completion will
result in the awarding of 35 HR recertification credit hours. Visit http://www.villanova.edu/vpaa/continuingstudies/ for details and course locations.
Application for the scholarship is open to any individual whether or not they have been or are currently employed in the field of Human Resources. The scholarship
covers the cost of the course but not the costs of the test. The winner must be able to sign up for and take the course, through Villanova University, during the Spring
2011 session. The winner is encouraged, but not required, to sit for the PHR/SPHR test. ** Candidates interested in reregistering for the test should visit www.hrci.org
to review eligibility requirements.
Please type or print your responses below, and submit a resume along with your application no later than Thursday
January 6th, 2011 to
Garrick Weaver: gweaver@pentechealth.com or via fax to 484-480-2119. Applicants will receive an email response acknowledging the receipt of
their submission. Applicants are solely responsible for submitting a completed application.
Full Name
Day time phone
Street Address
City, State and Zip
code
Email Address
Are you currently
employed in the field
of HR?
Circle One
Yes/No
If yes- where and in
what role)
Are you a member
of DCHRA?
Circle One Yes/No
Are you a member of
another local SHRM
chapter?
Circle One
Yes/No
If yes- which one(s)
Circle One Yes/No
Are you able to sign
up for and take the
course through
Villanova University
during the Spring
2011 session
Circle One
Yes/No
How did you hear
about the scholarship
offering?
Are you a member
of SHRM?
Night time phone
Are you planning on
registering to take the
exam in Spring 2011?
**see HRCI.org for
eligibility information
Circle One
Yes/No
In 250 words or less please describe how taking the course will benefit you in your career? (Applicants may cut and paste their
response below):
In 100 words or less please describe any recent volunteer work that you have done in your community? (Applicants may cut
and paste their response below):
Please read and sign. I understand that my application for consideration is subject to review, and verification, by the DCHRA Ad Hoc Scholarship Committee and only
information submitted as part of this application will be considered. I agree to allow DCHRA and Villanova University to use my name, photos (from the awards
ceremony), scholarship entry (and any other submitted documents) in whole or in part for publicity purposes. DCHRA and Villanova University are not responsible In
the event that the completed application and supporting documents are not received by the deadline
Name (Print)_______________________________________
DCHRA Scholarship Application 2010
Date:________________________________________
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