subject_line
First Name
*
Last Name
*
Designation(s)
*
SHRM-CP
SHRM-SCP
PHR
SPHR
GPHR
CEBS
No Designation
Other
Other
How do you want your name tag to appear at the conference.
Include First Name, Last Name and Designation exactly how you want it to be
*
Company
*
Title/Position
*
Street Address
*
Address Line 2
City
*
State
*
Zip Code
*
Preferred Phone
*
Mobile Phone
*
Email Address
*
Twitter Handle
List Special Dietary or Accommodation Requests
Company Size
*
0-50
51-250
251-500
501-999
1,000+
Industry
*
Number of Years in HR
*
Are you a SHRM member
*
Yes, SHRM Member
Yes, SHRM Student
Not a SHRM Member
Membership ID Required for Discount
*
Chapter Affiliation
*
Not a Chapter Member
HRA of Greater Emporia
SHRM of SouthWest Kansas
Western Kansas HRMA
Central Kansas SHRM
Southeast Kansas HRA
Jayhawk Chapter SHRM
HR Management Network
SHRM of Johnson County
South East Kansas Corner HRA
Salina HR Management Assn.
SHRM-Topeka Chapter
Wichita Chapter SHRM
South Central Kansas SHRM Chapter
Other
Other
Is this your first time attending the Kansas SHRM State Conference?
*
Yes
No
Would you like to attend a virtual First Timer Orientation the week prior to the conference?
*
Yes
No
Unsure
Will you be joining us for the Wednesday evening social networking event in the Exhibit Hall?
*
Yes
No
Not Sure
Select the days you will be attending
*
Both days of the conference
Wednesday
Thursday
Please be sure to add
office@ksshrm.org
to your email’s whitelist to ensure you receive our conference communications.
As part of their benefits, our sponsor organizations may receive electronic attendee lists in advance of, and following the event. By default, the list contains name, title, company, address, and phone number. If you do not wish to share your email address, enter your email address here.