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First Name
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Last Name
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Organization
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Email Address
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Phone
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Address Line 1
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Address Line 2
City
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State
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Zip Code
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Are you a SHRM Member?
Are you a SHRM Member?
Yes
No
Certifications
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SHRM-CP
SHRM-SCP
SPHR
PHR
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Biography
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LinkedIn URL
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Professional Headshot
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Please upload a professional headshot for marketing purposes.
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Speaker Honorarium
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Years of Professional Speaking Experience
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Program Overview
Proposed Program Title
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Program Description
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Learning Objectives
(Required)
Please list 3-4 learning objectives
Program Format
(Required)
Chapter HR Educational Program: Educational program developed by SHRM Chapters
College or University Coursework: Program administered at an accredited college or university
Conference: A single or multi-day HR conference with multiple sessions
E-Learning: An E-Learning program (has a presentation followed by a graded quiz)
Seminar: Single or two day program where you are teaching on a single HR topic
Videoconference: A recorded or live videoconference
Webinar/Webcast: A live or archived presentation in a webinar/webcast format
Workshop: Meeting at which a group engages in intensive discussion on particular HR subject
Has this Program been Previously Approved for HRCI Credit?
(Required)
Yes
No
Previously Approved HRCI ID
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Relevant Functional Area of the Program
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Business Management
Compensation, Benefits, & Work Experience
Employee & Labor Relations
Employee Relations & Engagement
Employee Relations & Risk Management
HR Administration & Shared Services
HR Information Management
HR Service Delivery
Learning & Development
Measurement & Analysis
Talent Development & Management
Talent Management & Development
Talent Planning & Acquisition
Total Rewards
Proposed Credit Type
(Required)
Business
Global
HR (General)
Is this an Ongoing Activity?
(Required)
Yes
No
Total Program Time
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Non-Learning Time
(Required)
SHRM Body of Applied Skills and Knowledge
Functional Area(s) represented or acquired by participation in this program.
Functional Area of Program
(Required)
Business Acumen
Communication
Critical Evaluation
Ethical Practices
Global & Cultural Effectiveness
HR Expertise
Leadership & Navigation
Relationship Management
People
(Required)
Talent Acquisition & Retention
Employee Engagement
Learning & Development
Total Rewards
Organization
(Required)
Structure of the HR Function
Organizational Effectiveness & Development
Workforce Management
Employee Relations
Technology & Data
Workplace
(Required)
HR in the Global Context
Diversity & Inclusion
Risk Management
Corporate Social Responsibility
U.S. Employment Law & Regulations
Strategy
(Required)
Business & HR Strategy
Times you have Presented this Topic
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Average Number of Attendees
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Provide Evaluation/Feedback Summaries from Past Presentations
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Videos to previous speaking engagements
Videos to previous speaking engagements
Program Materials
Program Materials
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Name
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First
Last
Email
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Email
Phone
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Phone
Address
Street Address
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City
State / Province / Region
ZIP / Postal Code
Current College/University
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Current College/University
Major / Graduate Program
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Major / Graduate Program (e.g., Communications, Marketing, HR)
Degree Program
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BA
BS
BSBA
MBA
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Program Year
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Program Year
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Student Membership
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Student Membership Membership in HRACO is not necessary for participation in the mentorship program
HRACO
HRA
GHR
Other
None
Industry Experience
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Select 2 to 3 types of industries in which you would like to gain some experience
Banking
Consulting
Government
Healthcare
Hospitality
Manufacturing
Not-for-profit
Retail
Service
IT or technology
Insurance
Other
Functional Experience
(Required)
Indicate the 2 or 3 HR professional development areas you would like to discuss with a mentor.
Administration
Compensation and Benefits
Diversity
Employee and Labor Relations
Generalist
Global HR
HR Technology
Learning and Development / Training
Recruiting or Staffing
Safety and Occupational Health
Other
Preferred method of meeting with a mentor
(Required)
Preferred method of meeting with a mentor
Face-to-face
Remote / video conference
No preference
Preferred time of day to meet with mentor
(Required)
Morning
Lunch
Afternoon
Late afternoon
No preference
Do you prefer to have a specific gender as your mentor?
(Required)
Do you prefer to have a specific gender as your mentor?
Yes – female
Yes – male
No preference
Do you have access to reliable transportation?
(Required)
Do you have access to reliable transportation?
Yes
No
First Name
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Last Name
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Email Address
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Phone
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HRACO Communities
Please select the areas you’re most interested in volunteering.
College Relations
Diversity, Equity & Inclusion
Emerging Professionals
Government Affairs
Marketing & Communications
Membership
Professional Development
Programming
Resource Partnership
Workforce Readiness
Phone
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