Join MD-DC SHRM

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Name*
First Last
Title*
Organization*
Current Job Description*
Reason for Joining MD-DC SHRM*
Address*
Street Address Address Line 2 City State Zip
Email*
Phone*
Member of National ASHRM?*
- Yes
- No
Membership Type*
Regular: Anyone who is actively involved (ex.: risk, claims or legal management), interested in healthcare risk management / prevention (ex.: quality, safety, regulatory / corporate compliance) or whose primary job responsibility includes healthcare risk management.
Student: Anyone who is a full-time student registered at an institution of higher learning. Students must submit photocopies of student identification or recent transcript verifying current student status.
Membership Price*
Price: $0.00
Payment Type*
- Pay by Check
- Pay by PayPal or Credit Card
On clicking Submit, you will taken to the PayPal site to enter your payment information.
Click Submit to submit the renewal form then pay by check for the amount above payable to: MD-DC SHRM and mail to:
MD-DC SHRM
PO Box 71638
Durham, NC 27722
Set Your Account Password*
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You will receive notice when your application has been approved.
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