Committee Member Self Nomination Form

Please complete the Self-Nomination form to express your interest in volunteering. We appreciate thoughtful responses to each question.

If you want to keep a copy of this form, print before clicking the "Submit" button.

National SHRM Member Number *

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Address Type *

Home

Work

Email *

Primary Phone Number * (include area code)

Alternate Phone Number * (include area code)

Current Employer (if applicable)

Current Position (if applicable)

Do you have an active membership with Prince William SHRM? *

All committee members must have an active Prince William SHRM membership in order to serve. If you are not currently a member, you will be required to join or renew your membership.

Committee Position(s) of Interest *

Why are you interested in the position(s) to which you have applied? *

What experience or qualifications make you suited for the position(s)? *

Volunteering in any organization requires a commitment of personal time and, at times, support from your employer. *

Please include a statement that indicates whether you can devote the necessary time, and whether you have the support of your employer (if applicable).

Signature of Applicant *

The information provided on this application is true and accurate to the best of my knowledge.

Application Date

Month

Day

Year

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Committee Member Self Nomination Form

If you want to keep a copy of this form, print before clicking the "Submit" button.

Prince William SHRM Inc.