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MOSHRM Volunteer Leader Summit
First Name
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Last Name
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Designation(s)
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SHRM-CP
SHRM-SCP
PHR
SPHR
GPHR
CEBS
No Designation
Other
Other
Company
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Title/Position
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Street Address
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Address Line 2
City
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State
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Zip Code
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Preferred Phone
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Email Address
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Chapter Affiliation
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Not a Chapter Member
SHRM of Greater Kansas City
HRA of Central Missouri
HRMA of Northwest Missouri
Branson Tri-Lakes HRA
Tri-State HRA
SHRM of Southeast Missouri
Lewis & Clark SHRM
Springfield Area HRA
HRMA of West Central Missouri
SHRM of Greater St. Louis
Northeast Missouri SHRM
What is your 2023 Volunteer Leader Position?
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What is one thing you hope to gain by attending the MOSHRM Leadership Summit?
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Please list any special dietary or accommodation requests: