SHRM 2013 Special Expertise Network Application

Please fill out each field on this form. Only fully completed forms submitted by July 31, 2012, will be considered.

Last Name *

First Name *

Middle Initial *

Title *

Company/Organization *

Address 1 *

Address 2

City *

State

Country

Zip Code

E-mail *

Phone *

Certifications

Gender *

Ethnicity *

Education *

Please indicat the highest level of education you have completed:

Experience *

How many years of relevant experience do you have as a practitioner and/or consultant and/or teaching/academic?

HR Role *

In the last five years, which HR related role has dominated the majority of of your professional experience?

HR Concentrations *

From the following list, please select the HR concentration(s) where you have the most advanced knowledge. Examples: published work, expert witness, seasoned professional, recognized subject matter expert within industry. (Check all that apply)

Volunteer Experience

Have you served as a SHRM volunteer in the past? If so, in what role(s)?

Network *

Please indicate which SHRM Special Expertise Network you wish to apply for.

Your Resume *

Please copy/paste your resume/CV in this space. Applications with no resume/CV will not be considered.

Thank you for your application. New Members for the SHRM Special Expertise Panels will be announced in December.