Application form

Japan Society of Human Resource Management
Application Form
Date:________________________
Membership Type ☐ General Member (Academic)
☐ Student Member (Currently engaged in graduate studies)
☐ Professional Member (With more than seven years experiences working in HRM)
Name
(in Roman letters)		 Given Name / Middle Name / Family Name
Name
(in Katakana)		 Given Name / Middle Name / Family Name
Date of Birth  
Current Address

 
Email  
Educational Record Doctorate Degree
☐ Completed
☐ In progress (expected date of completion ____)
☐ Incomplete
Master Degree
☐ Completed
☐ In progress (expected date of completion ____)
☐ Incomplete
Undergraduate
☐ Completed
☐ In progress (expected date of completion ____)
☐ Incomplete
☐ Other (      )
Most recent qualification University Name:
Faculty:
Department:
Field of specialization:
Thesis topic:
Other:
Current Affiliation

 
Current Workplace Address

 
Field of interest 1. Management 2. Economics of HRM 3. Sociology
4. Psychology 5. Law 6. HRM
Preferred method of postal contact
(for journals, newsletters, etc.)		 ☐ Home Address
☐ Workplace Address
Preferred contact address listed in association materials ☐ Home Address
☐ Workplace Address
Referees Name:               (signature)
Date:

Name:               (signature)
Date:
Date received by the administration office(     )