Diversity Hiring Coalition of Maine, Membership Application/Renewal

Diversity Hiring Coalition of Maine
Membership Application/Renewal

TYPE OF MEMBERSHIP     (Please check one membership type)

Active Member  -  $150.00

Regular attendance at scheduled DHC meetings (allow two missed meetings per calendar year).
Participatory membership on at least one subcommittee.
If membership drops below above-described level (i.e. two or more missed meetings or no active participation on a subcommittee), organization will be invoiced additional $150 and will move to "Friend of DHC" status.
Benefits: Active members enjoy a reduced membership rate and the opportunity to network with peers who seek to enhance diversity at their organizations. Active member organizations will be included in DHC correspondence and will be identified as an active member on DHC literature. Additionally, the DHC web site will provide a direct link to your organization's employment page(s).

Friend of the DHC  -  $300.00

Benefits: Organization will be included in DHC correspondence and will be identified as a "Friend of the DHC" on the DHC web site.

MEMBER INFORMATION

First Name:

MI:

Last Name:

Organization:

Job Title:

Mailing Address:

City:

State:

Zip:

Phone:

Email:

Employment Page Website Address:

Fax Number:

Number of Employees in Your Organization:

My National SHRM Member Number is:

Professional Designation

SPHR    GPHR    PHR Other

PAYMENT

Mailing Payment.  (Please print a copy of this page before submitting to mail with your check.)

Please send me an invoice.  (Invoices will be e-mailed, please provide an e-mail address above.)

Pay with Credit Card.  (Once you submit this form, you will be directed to a page to make payment.)

The Diversity Hiring Coalition of Maine is a partnership of private and public sector employers providing leadership and developing resources to help Maine employers increase, support and retain racial and ethnic diversity in the workplace. Your membership in the DHC requires that you and your organization value and support this mission.
Signature of Member (Please enter your full name)

Application Date

Print a copy of this form for your records then click the "Submit" button below.