2024 Membership Application

Thank you for your 2024 Membership Application.

We look forward to seeing you at one of our next seminars or mixers.

Any questions, pelase contact: Nancy Tarascio-Latour, Past President

First Name *

Last Name *

Title *

Company *

Business Address *

Business City *

Business State *

Business Zip Code *

Business Phone *

Business Email *

Personal Email *

Are you a NWCTHRA Member? (Yes, No, Previously) *

Are you a SHRM Member? (Yes, No) *

If SHRM Member, What is your SHRM registration email? *

Payment Type: How are you paying? Paypal, Venmo, or Invoice *

Type of Payment: Paypal, Venmo, or Invoice

Would you be willing to volunteer? (Yes, No, Currently, Maybe) *

Are you Certified through SHRM or HRCI? *

Student Only: Which College do you attend?

SHRM Foundation Donation

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NW Connecticut Human Resources Association