New Member Registration

Thank you for your interest in the Pittsburgh Human Resources Association.

Below is an application for membership with an e-commerce portion attached so that you can sign up to be a member today!

Please note that we reserve the right to change your membership type pending confirmation of status. Please refer to Pittsburgh Human Resources Association�s privacy policy regarding your contact profile information.

Membership

*Membership Type

*Membership Term

*Username

*Password

*Retype Password

Are you a SHRM Member?

SHRM Member?

SHRM Member #

SHRM Membership Expiration Date

Are you a student?

University Name

Membership

*First Name

Middle Name

*Last Name

Certifications

Address

City

State

Zip Code

Date Of Birth

Age

Gender

Education Level

Race

Employment

Company	Company Size	Sector
Address
City	State	Zip Code
Job Title	Position	Job Function
Department Size	Unit Level

Communication

Home Phone	Work Phone	Preferred Communication
*Email Address	Secondary Email Address	Mail Preference
Cell Phone	Fax