LCRHA Chapter Board Membership Interest Form

Are you a current SHRM chapter member and want to join our growing Board of Directors to help us do more for our community? Fill out and submit this form to get started.

Contact Name

First Name

Last Name

Email Address Used with SHRM

Email address must match SHRM records for membership to be verified.

Certifications

List certifications you currently hold.

Title

Company Name

Which part of Lane County are you from?

City, State

Phone

(###)

###

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Contact Email (if different from above)

Referred By

Electronic Signature

I understand that by submitting this form this in no way guarantees placement on the LCHRA Board. Please type your first and last name.