PERSONAL
INFORMATION: (
* Indicates required field )
*First Name
*Last Name
*Title
*Role
*Education/Training
Please Select
Associate Degree
Bachelor Degree
Masters
MBA
Doctorate
Other
Other:
*Organization
*Address
*City
*State
*Zipcode
*Office Phone
*Fax
*Email Address
ORGANIZATION
INFORMATION:
Geographic
Area
Please Select
Phoenix Metro
Tucson Metro
Arizona
United States
International
Number Employees
Please Select
Less than 100
100-499
500-999
1,000-2,499
2,500-4,999
5,000-9,999
10,000-24,999
25,000+
Annual
Sales
Please Select
Less than $5 Million
$5 Million - $50 Million
$50 Million - $100 Million
100 Million+
HR Staff
Please Select
1-3
4-6
7-10
11-15
16-20
21+
POSITION
INFORMATION
Position
Please Select
Board of Directors
President or CEO
Vice President
Director
HR Manager - Generalist
HR Manager - Specialist
Organizational Development Manager
Training Manager
Manager
Legal Counsel
Other - Please Specify
Other:
Reporting
To Name:
:
Position
Please Select
Board of Directors
President or CEO
Vice President
Director
HR Manager - Generalist
HR Manager - Specialist
Organizational Development Manager
Training Manager
Manager
Legal Counsel
Other - Please Specify
Other:
HR Experience
Please Select
0-3 Years
4-6 Years
7-10 Years
11-15 Years
16-20 Years
21+ Years
Years
in Current Position
Please Select
0-3 Years
4-6 Years
7-10 Years
11-15 Years
16-20 Years
21+ Years
Years
at Current Level of Responsibility
Please Select
0-3 Years
4-6 Years
7-10 Years
11-15 Years
16-20 Years
21+ Years
Describe
your current role and the scope of your responsibilities,
as they relate to Human Resource planning.
Describe
how you impact the strategic Human Resource
planning of your organization or your client's
organization.
PARTICIPATION
A.
Do you participate in other HR professional
organizations? Yes:
If
yes, which one(s):
B.
Would you be willing to serve on an AZHREF committee? Yes:
Area
of Interest: Programming
Yes:
Membership Yes:
Other
Yes:
C.
Please describe any additional resources (meeting
site, copying, AV equipment, etc.) you are willing
to contribute to the Forum.
D.
What should your membership in AZHREF provide?
(Check all that apply)
E.
Are you currently a member of the National HR
Planning Society, with headquarters in New York?
Yes:
PROGRAMMING
A.
What type of meeting format do you prefer?
(Check all that apply)
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.
SPONSORSHIP
Please
list two current AZHREF members who will support
your application.
Name
Company
Title
Name
Company
Title
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 $475. 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.
Click Here to view the full details of membership
How
did you hear about AZHREF?
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
Phone: 480-632-7566
Fax: 480-892-6845
Email: angela.williams@azhref.org
