GastonHR - Member Application

* First

* Last

Title

* Present Employer

* Mailing Address

* City

* State

* Zip

* Phone

* Email

Type of Business

Number of Employees

Time in Position

* Are you a Member of SHRM?

If yes, please provide your SHRM Member Number

What certifications do you hold with SHRM or HRCI?

Major responsibilities which qualify you as a member of our association

Percent of time involved in personnel adminstration on present job

Are you presently -

How did you hear about Gaston HR?

Name of Sponsoring Gaston HR professional

Questions / Comments