TMHRA Application TMHRA Membership Application Name* First Last TitleOrganizationAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail* Supervisor Name (To whom you report)*Supervisor Title*Which category best describes the organization you work for? City with a Human Resources Department City without a Human Resources Department City with a Human Resources Department as well as HR functions within specific departments (such as Police and Fire) County School District State Agency Municipal Utility District Vendor/ Consultant offering services to Human Resources professionals Other Professional Certifications (IPMA-CP, PHR, SPHR, etc.) IPMA-CP PHR SPHR CCP SHRM-SCP SHRM-CP CEBS Other How did you hear about TMHRA?Current Responsibilities (Check all that apply) Civil Service/143 Civil Service/Local Collective Bargaining Compensation/Classification EEO/AAP Employee Assistance Program (EAP) Employee Benefits Employee Relations Employment Grievance/Appeal Administration Meet and Confer Payroll Policies/Procedures Retirement Plans Risk Management Safety Testing Training Wellness Workers' Compensation TMHRA Committees (check the committees you are interersted in serving on) Communications - Assists with ensuring TMHRA members are informed about upcoming events and resources through newsletters, email and social media. Legislative – Assists with identification of key legislative issues specific to municipal Human Resources and tracks legislation throughout the year. Membership Development - Promotes member growth and retention, assists with planning of new member activities and development of programs to engage and connect new/existing members to resources. May act as a coordinator for Regional HR Round Tables. Membership Engagement - Promotes participation in the TMHRA Association and assists with coordination and selection of participants for annual awards. Programs – Assists with planning of conferences and events by organizing event schedules, developing presentation topics and seeking speakers. Please choose options below. Sponsorships – Assists with coordination of sponsorships for events and engages with sponsors to ensure sponsors are adequately promoted. Membership Options*TMHRA Active Membership $75.00 / (Half Year) $37.50TMHRA Affiliate Membership $75.00 / (Half Year) $37.50TMHRA Cooperating Membership $75.00 / (Half Year) $37.50TMHRA Student Membership $25.00 / (Half Year) $12.50CAPTCHA