MT|SHRM - 2018-2019 MT|SHRM Mentor Application

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* HR Professional Name:

* Job Title:

* Organization/Company Name:

* Industry:

Professional Certification: SHRM-CP/PHR, SHRM-SCP/SPHR

* Email Address:

* Cell Phone:

Work Phone:

* Years in Profession:

* HR Memberships Held: SHRM (National), Middle Tennessee ATD, etc.

* Are you currently an active member of MT|SHRM? *

Yes
No
No, but I plan on renewing my membership after I finish my application.

Do you know any HR Professionals who would be interested in serving as a mentor this year? If so, please provide their email address(es):

* Preferred Method of Communication:

* Location Preference:

* What do you expect to gain from this mentoring opportunity?

* How would you answer the following: I would like my mentee to...

* What are your hobbies and interests outside of the field of HR?

*Please enter the text in the security image: