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By completing and submitting this form, you will create your online membership profile and be added to our membership database. Once submitted, your profile will be reviewed and approved by our team. After approval, you will receive an email confirmation with further details.

Your online profile will enable you to:

Receive important Chapter updates and communications via email.
Log in to manage your Chapter member record, including your contact information (e.g., address, email).
Access exclusive, Chapter member-only content.
Be included in the protected online Chapter membership directory, visible to other members.

Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

Your primary e-mail address where SHRM can contact you.

Confirm e-mail address *

Please re-type your e-mail address to confirm it is accurate.

Personal Information

First Name *

Middle name

Last Name *

Company Name

Address

Address 2

City

State or Province

Postal Code

Country

Telephone

Business Email *

Business Title

Are you a member of The National Society of Human Resources? *

SHRM National Member Email

SHRM National Member Email (Not displayed in Membership directory)

Certifications

Were you referred by someone, if so name of the referring member:

Will you be paying by credit card today on the site or mailing a check? *

Credit Card

Check

If you will be mailing a check the Membership Director will contact you.

Acknowledgement *

In submitting this application, I agree in good faith to abide by the Southside Virginia SHRM code of ethics, Southside Virginia SHRM mission and non-solicitation agreement as stated on the website.

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This question is for testing whether you are a human visitor and to prevent automated spam submissions.

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Southside Virginia SHRM