| PERSONAL
INFORMATION: (
* Indicates required field ) |
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*First Name |
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*Last Name |
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*Title |
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| *Role
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| *Education/Training |
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Other: |
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*Organization |
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*Address |
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*City |
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*State |
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*Zipcode |
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*Office Phone |
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*Fax |
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*Email Address |
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| ORGANIZATION
INFORMATION: |
| Geographic
Area |
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Number Employees |
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| Annual
Sales |
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HR Staff |
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| POSITION
INFORMATION
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| Position
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Other: |
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| Reporting
To |
Name:
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| Position
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Other: |
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HR Experience |
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| Years
in Current Position |
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| Years
at Current Level of Responsibility |
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| Describe
your current role and the scope of your responsibilities,
as they relate to Human Resource planning. |
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| Describe
how you impact the strategic Human Resource
planning of your organization or your client's
organization. |
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| PARTICIPATION |
| A.
Do you participate in other HR professional
organizations? |
Yes:
No:
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| If
yes, which one(s): |
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| B.
Would you be willing to serve on an AZHREF committee? |
Yes:
No:
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| Area
of Interest: |
Programming
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Yes:
No:
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Membership |
Yes:
No:
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Other
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Yes:
No:
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| C.
Please describe any additional resources (meeting
site, copying, AV equipment, etc.) you are willing
to contribute to the Forum. |
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| D.
What should your membership in AZHREF provide?
(Check all that apply) |
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| E.
Are you currently a member of the National HR
Planning Society, with headquarters in New York?
Yes:
No:
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| PROGRAMMING |
| A.
What type of meeting format do you prefer?
(Check all that apply) |
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| B.
Please list quality speakers that you would
recommend as presenters for AZHREF programs.
If your organization plans to engage any of
these speakers during the next 12 months, please
indicate below. |
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| SPONSORSHIP |
| Please
list two current AZHREF members who will support
your application. |
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Name |
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Company |
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Title |
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Name |
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Company |
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Title |
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| MEMBERSHIP
INFORMATION |
The
Board of AZHREF will meet at the conclusion
of the next program to review your application.
You will be notified sortly thereafter of
your status.
The
annual dues for AZHREF are $400.00. Payments
are prorated throughout the year. An invoice
will be sent to you after your appplication
has been approved. Renewal invoices are sent
in November/December each year. |
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| How
did you hear about AZHREF?
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If
you have questions about AZHREF, please feel
to contact Angela Williams, using the contact
information below.
Angela Williams, SPHR
Arizona Human Resource Executive
Forum
16718 E Campbell Rd
Gilbert, AZ 85234 |
| Phone: |
480-632-7566 |
| Fax: |
480-892-6845 |
| Email: |
angela.williams@azhref.org |
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