• SHRM Essentials of HR Management<br> Lincoln College Course Registration
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  • PERSONAL INFORMATION
  • First Name*

  • Middle Name*

  • Last Name*

  • Home Address*

  • Home Phone*

    xxx-xxx-xxxx
  • Business Phone

    xxx-xxx-xxxx
  • Cell Phone

    xxx-xxx-xxxx
  • Date of Birth*

    mm/dd/year
  • Social Security # *

    111-22-3333
  • Email*

  • WORK INFORMATION
  • 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 and PAYMENT OPTIONS
  • FEES: The registration fee covers all printed and electronic materials, 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................$495 <br> Non. SHRM Members........................................................................................................$525 <br> <br> PAYMENT INFORMATION: Students must use a credit card for payment. Payment will be processed 14 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 <br>received less than3 days prior to a class start. THERE ARE NO REFUNDS AFTER THE CLASS BEGINS.
  • Credit Card Type: *
        
  • Number* 
    No spaces or dashes.
  • Expiration Date: * 
    i.e. 01/2010
  • Electronic Representation: * 
    Enter Your Initials i.e. John Dow - JD
  • I authorize Lincoln College to process the credit card number I have provided for the purpose of registration into the SHRM Essentials of HR Management program. 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 registration submission form – just the same as a pen-and-paper signature or initial.
  • *

  • Security Question:
    5 x 4 =