• PERSONAL INFORMATION
  • FEES and PAYMENT OPTIONS
  • WORK INFORMATION
  • WORK INFORMATION
  • WORK INFORMATION
  • First Name*

  • Middle Name*

  • Last Name*

  • Home Address*

    street, city, state, zip code
  • Home Phone*

    xxx-xxx-xxx
  • Business Phone

    xxx-xxx-xxxx
  • Cell Phone

    xxx-xxx-xxxx
  • Date of Birth*

    mm/dd/year
  • Social Security #*

    111-22-3333
  • Email*

  • Job Title*

  • Employment Dates

    mm/year - mm/year
  • Employer’s Name*

  • Employer's Phone*

    xxx-xxx-xxxx
  • Business Address*

    street, city, state, zip code
  • Job Responsibilities*

  • SHRM Chapter affiliation (If applicable)

  •  
  • Please indicate how you learned about this program:*
            
  • (If Other - Please Provide Source) 
  • FEES: The registration fee covers materials, including the six module SHRM Learning System, as well as the in-person classes conducted by a qualified instructor who has a PHR and/or SPHR designation.
  • Current SHRM Members; Lincoln College Alumni and current students................$995 <br> Non. SHRM Members........................................................................................................$1095 <br> <br>
  • Will you be studying for: *
      
  • Are you registering for:*
     
  • Credit Card Type:*
        
  • Number* 
    No spaces or dashes.
  • Expiration Date:* 
    i.e. 01/2010
  • Electronic Representation:* 
    Enter Your Initials i.e. John Dow - JD
  • *
     
  • Security Question:
    9-6=?


  • I authorize Lincoln College to process the credit card number I have provided for the purpose of registration into the SHRM Learning System. <br>By clicking the box, I agree that the initials I have entered above will be the electronic representation of my signature for the purpose of this online<br> registration submission form – just the same as a pen-and-paper signature or initial.
  • SHRM Learning System<br>Lincoln College Review Course Registration
  • CLASSROOM SESSION FEES
  • PAYMENT INFORMATION: Students must use a credit card for payment. Payment will be processed 7 to 10 days before class starts. <br> <br> CANCELLATIONS: Cancellations can be made up to 3 days prior to a course start for a full refund. There will be no refunds for cancellations received less than3 days prior to a class start. THERE ARE NO REFUNDS AFTER THE CLASS BEGINS.