Skip to Page Content

Membership Application



    Name: ____________________________________________________________________________

                      Last                                               First                                                      MI


    Org. or Employer: ________________________________________________________


    Job Title:_______________________________________________________________________



                      Street#/PO Box                                                                                            

    City: ______________________________________                                       

    State: ____________________________________


    Phone #:__________________________           Fax #: _______________________


    Email: ______________________________________________________


    Are you currently a member of SHRM: _____ Yes  _____ No 

    SHRM #: ___________________


    Please send completed application form, along with a check for:

    • Individual Membership $50.00            ______

    Send Completed Form and Check to:

    Southwest MI SHRM

    P.O. Box 751

    St. Joseph, MI 49085

    Attn: Membership Committee


    As a member of SWMI SHRM, I will uphold its purpose and Code of Ethics:


    Signature: _________________________________ Date: ________________


    Is this a new Member Application or a Renewal Application: _______