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SHRM Student Chapter Roster Update Request
Name of college/university:
*
Student chapter number:
*
Student Chapter State
*
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
Guam
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Your name:
*
Your position in the chapter:
*
Your e-mail address: (A copy for this completed form will be returned to you.)
*
Your chapter advisor's name:
*
Your chapter advisor's e-mail address: (A copy of this completed form will be sent to your advisor.)
*
Your chapter co-advisor's name: (Optional)
Your chapter co-advisor's e-mail address:
SHRM Privacy Policy
Chapters are asked to audit their roster at least once per year to ensure that the SHRM records match the student chapter records. To audit your chapter's roster, compare the SHRM-generated roster to your chapter's own membership list noting any errors or corrections that will be needed. Please use the spaces below to note changes. You may request up to eight changesto your chapter's membership roster on this form. If you have more than eight changes, please open another request form.
Change #1.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Change #2.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Change #3.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Change #4.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Change #5.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Change #6.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Change #7.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Change #8.
Add this student to the roster.
Remove this student from the roster.
Student's SHRM member number:
Student's name:
Please review your form. If you are ready to submit this request, please move to the next page.