WISHRM   SHRM
 
 


State Conference Nominee Questionnaire

Personal Information
Full Name:
Title/Position:
Company/Affiliation:
Address:
City: State: Zip:
Phone: Fax:
Email Address:
National SHRM Member ID# :

After reviewing the WI State SHRM Conference Committee descriptions and with the support of my employer, I would like to be considered for the position(s) checked below.  (You may select more then one position.  You may click on any conference positions to get a full listing of all Conference Committee Co-Chair responsibilities.) 

   
The following positions are open for nomination
Activities Co-Chairs
Advertising Co-Chairs
Programming Co-Chairs
Publications Co-Chairs
Accommodations Co-Chairs
Book Store Co-Chairs
Communications/Web Site Coordinator Co-Chairs
Exhibits Co-Chairs
Finance Chair/Treasurer
Registration Co-Chairs
Sponsorships Co-Chairs
Volunteers Co-Chairs

Qualifications
Please answer the following questions.
   
Please highlight the number of years and roles you have had in any SHRM chapter or national role:
 
   
Please highlight the experience you have had with the WI State SHRM Conference. Please provide an explanation of your role and years you were involved. Also highlight your biggest learning’s from this experience:
 
   
Please highlight for us other groups, events or Professional Affiliations that you have taken a leadership role in planning and how that experience helps prepare you to take on this position:
 
   
Have you had experience with creating and working within a budget? Please describe.
 
   
What would be your top three objectives you would want to accomplish in leading your area of responsibility? Do see any concerns or limitations in reaching those objectives?
 
   
Do you have someone who you are interested in being your Committee Co-Chair? If so who? (Please note they will have to submit a separate application)
 
   
Can you also provide us with 3 references that experienced your leadership regarding the planning of a conference? Please include their name, phone number and explanation of why you feel they are qualified to comment.
 
   
Please disclose any conflict of interests that you may have in assuming this role:
 

Declaration
   
Please read the following information carefully. Sign below to declare your candidacy and acceptance of the terms in this section of the application.
I. 1. If chosen by the Nominating Committee, I agree to actively serve on the WI State SHRM Conference Committee. I understand that this includes:
a) Attending and fully participating in all Conference Committee Meetings to the best of my ability;
b) Attending and participating in assigned sub-committee meetings to the best of my ability;
c) Arriving for meetings fully prepared on the issues to be discussed;
d) Faithfully discharging duties which may be assigned to me.
   
II. I agree to abide by the SHRM Principles of Professionalism.
   
III. I understand that I may be called by a member of the Nominating Committee to discuss my candidacy.

Submitted By:     Date:


This form is being submitted to:

Kristine Hackbarth-Horn, SPHR, CCP
Conference Liaison Director


This application must be received on or before
4:00 p.m., Wednesday, November 7, 2007 to be considered.

  
 
WISHRM Council Headquarters
2830 Agriculture Dr.
Madison, WI 53718
Phone: (608) 204-9827
Fax: (608) 204-9818
Email: wishrm@morgandata.com