Title :

Mr.Mrs.Miss.other

Other :

Full Name ( First Middle Last ):

Place of Birth :

Date of Birth ( dd/mm/yyyy ) :

Gender :

MaleFemale

Job Title :

Company :

Work Address :

Work Phone :

Work Fax :

Work E-mail :

Home Address :

City :

Country :

Mobile :

Phone :

Personal P.O Box (If you have one) :

Personal E-mail :

Preferred address for IHRM communications :

HomeWork

Your Most Advanced Degree :

High SchoolDiplomaBachelorMasterPh.D.Other

Other :

Name of the Educational Institution :

City :

Country :

Graduated :

YesNot yet

Graduation Date :

Anticipated Graduation Date :

Your Major (select ONE) :

Human Resource ManagementSociologyBusiness Administration/ManagementMBAOrganizational Behavior/DevelopmentOther

Other Major :

Employment Status :

EmployedNot Employed

Years of experience in HR :

NoneLess than 1 year1-23-56-910+

Years of experience in current position :

Size of your HR Department :

N/A1-23-1011-2021-50

Your HR Department serves the following number of employees :

N/A1-1011-4950-99100-400401-900Over901

Your primary area of responsibility :

Human Resources & Career Path PlanningEmploymentCompensation & BenefitsHealth & SafetyLabor LawPerformance EvaluationTraining & DevelopmentEmployee RelationsN/AOther area

Other area :

How did you hear about IHRM? :

IHRM MemberIHRM EventColleagueIHRM WebsiteAdvertisementUniversitySocial MediaFacebookLinkedinTwitterOther

Other :

Primary reason for joining IHRM :

Personal DevelopmentNetworkingInformationProfessional DevelopmentOther

Other :

Are there any areas in which you would like to expand your knowledge? (Check all that apply)

Human Resources & Career Path PlanningEmploymentCompensation & BenefitsHealth & safetyLabor lawPerformance EvaluationTraining & DevelopmentEmployee relationsOther

Other :

Please indicate which five of these activities most interest you. (5 max) :

Attending conferencesCareer servicesKeeping abreast of current issues in HRParticipating mentoring programVolunteering with IHRMGroup discount on products & servicesOther

Other :

I acknowledge that all information provided in this form is correct and is not altered in any way to support my application. I also acknowledge that the IHRM may at any time check to ensure that my credentials and information submitted is true.

Date :

Signature :

CV Upload file :

Upload Personal Photo :

Thank You

Δ