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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 *

Job Title

Company Name

Primary Address 1

Primary Address 2

Primary Address 3

Primary City

Primary State

Primary Zip

Country

Primary Phone

Primary Fax

Certifications

(Examples: SHRM-SCP, SHRM-CP, GPHR, SPHR, PHR)

SHRM National Member ID Number

SHRM National ID (Not displayed in Member Directory)

Secondary Address 1

Secondary Address 2

Secondary City

Secondary State

Secondary Zip

Secondary Email

Secondary Phone

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SHRM Western Kansas