Register For a New Account
First Name
Last Name
Job Title
HR Certification	GHRP    PHR    SPHR    None
Company Name
Address
City
State
Zipcode
Email
Phone	Example: 616-555-5555
SHRM Member	YES     NO
Union Affiliation (Name)
Username	This will be your LHRMA User Manager username. This is what  users of the system will know you by.
Password	This will be your LHRMA User Manager password. A random password has been generated for you. You can use it or type in a password you would like better.
Additional Information
Parent Employer Enter NONE if no parent employer.
Subsidiaries of Employer Enter NONE if no subsidiaries.
Date Employer Established
Website Enter NONE if no website.
Product(s) or Service(s)
Number of Employees	Hourly   Salary
Representative Information
Department
Area of Expertise
Current HR Responsibilities
Reasons for Desiring Membership
Number of years in an HR role/function:
What Percentage of your time is spent on HR responsibilities?
Membership Questions
Please identify what committees you wish to participate in	Communications Community Involvement Membership Wage & Benefits Survey Professional Development All that Apply
Is your organization willing to share wage/benefit survey information?
Have you ever attended LHRMA as a guest or been a LHRMA member in the past?
What current HR topics are you interested in hearing about by attending LHRMA functions and meetings?
Member Profile
Other Geographical Locations
Organization Motto or Mantra
What member enjoys or hopes to benefit from membership in LHRMA
What is one thing most people do not know or are surprised to learn about your company?
Member Professional Overview: (This should give a brief description of what you have done, what you are doing, and the kinds of things you are interested in).
What other HR associations do you belong to: AHRM, ASTD, etc Enter NONE if no other associations.