COR SHRM Scholarship Application

Date *

Month

Day

Year

Applicant's Name *

Applicant's Phone Number *

Applicant's Email Address *

Employment Status *

Full-time

Part-Time

Unemployed (on unemployment/severance)

Unemployed (financially self-supporting)

SHRM Chapter Background *

I am a SHRM Chapter Member

I've serve/d on a SHRM Chapter Board

I am not a Chapter Member

How long have you been a member of this or other chapters? *

Which certification have you achieved? *

SHRM-CP

SHRM-SCP

Please provide a brief description of your work and professional experience in HR. If you have served on a SHRM Chapter board, please include that information below. *

Please describe your career goals and how this grant will help you reach them: *

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Central Oregon SHRM