On this day, I hereby make request that my name be brought before the members of the Wayne County Human Resources Association for the purpose of considering my application to be received as a Regular Member of said Association based on my personal qualifications and the qualifications of my employer. I submit the following information as indication of my bona fide interest in the affairs of the WCHRA :

Your Name:
Referred By:
Name of Employer:
Subsidiary/Affiliate of:
Business Mailing Address:
Business Phone Number/Fax Number:
Email Address:
Sponsored/Referred By:
Nature of Business:
My present responsibilities with the above stated employer as it relates to human resource management are:
I spend approximately % of my time relating to the above stated responsibilities.
What area of expertise can you bring to the WCHRA?:
Enter the 1st Word From The Image

1st Word: