Arizona Society for Human Resource Management - HRCI Scholarship Application

Professional Scholarship Application

Name of Applicant * (required)

Employer * (required)

Street Address * (required)

City * (required)

State * (required)

Zip (5-digit) * (required)

E-Mail * (required)

Phone Number * (required)

HRCI Test for which you have been accepted* (required)

PHR

SPHR

Test Date * (required)

Local Chapter Name: * (required)

At-large Member

Yes No

SHRM Member #

Please state why you believe you are particularly deserving of these scholarship funds. Include in your statement chapter and at-large activities you have recently been or are currently involved in which support HR as a profession.* (required)

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