Join BWHRA

Interested in joining BWHRA? Please fill out the form below and
someone will get back to you as soon as possible.

 

 

* Please note all fields are required

 

Name:

  Position:
  Organization:
  Telephone:
    Ext: 
  Fax Number:
  E-Mail Address:
  Address:
  City:
  State:
  Zip Code:
  Date of Employment:
  How long in present position?
  Principle Functions and Duties
(must have 50% HR duties to qualify for membership)
 

 

Educational Background

 

  Institution Degree/Certification Date
 
 
 
 
 

 

Special Areas of Interest:

 
  Are you a member of SHRM?
Yes   No
  Would you be willing to volunteer your time to be on a speaker's roster for BWHRA?
Yes   No 
  If you have a particular area of human resource or other areas of expertise that you would be willing to share with other BWHRA members please indicate: