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Vice President-Membership
_____ OTHER: Please list roles of interest:
Date: ________________
Name:__________________________________________________ Title: __________________________________ Company ___________________________
Address:
_______________________________________________
Zip Code: _________
Phone: (_____)__________ Fax: (_____)__________
Email:
_________________________
Any relevant
experience/training/education:
_________________________________________________________
VOLUNTEER LEADER EXPERIENCE Please list any previous leadership positions within our Chapter or within SHRM (list most recent first):
Position: _______________________________ Year(s) ______________
Position:
_______________________________ Year(s) ______________ Position: _______________________________ Year(s) ______________
Signature: ___________________________________________ |
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