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Distinguished Member Nomination Form
Nominators Information
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Name
*
Email
*
Phone
WSHRMA/SHRM Leadership position (if applicable)
*
Describe why this individual is deserving of Distinguished Member status, referencing the criteria and eligibility standards.
Please include relevant supporting documentation below.
Please upload additional information as needed
Nominees Information
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Name
*
Company
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Title
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Phone
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Email
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Supervisor's Name
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SHRM/WSHRMA leadership history.
Include positions and years of service if know
Years of WSHRMA membership (if known)
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Current certifications
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Degrees and institutions