Home
About Us
Board of Directors
Member Area
Join Us
Calendar
Contact Us
Sponsorship
Quick Links
Member Login
Event Calendar
Newsletter
Newsletter Archives
Resources
OSHRM Sponsors
Past Presidents
Membership Application
*
FIRST NAME
*
LAST NAME
TITLE
ORGANIZATION
*
STREET ADDRESS
*
CITY
*
STATE
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
*
ZIP
*
TELEPHONE #
FAX #
*
E-MAIL
*
ARE YOU CURRENTLY A MEMBER OF ASHRM
--Please select--
Yes
No
In which of the following areas would you consider yourself a good resource person for other OSHRM members?
Check all that applies.
Claims Management
COBRA
Consent
Corporate Compliance
Forms Development
Fraud & Abuse
Inservice Development
Legal issues/Legislation
Long-Term Care
Loss Prevention/Control
Office Practice
Patient Relations/Advocacy
Patient Self-Determination Act
Peer Review
Policy and Procedures
QI/UR
Risk Financing
RM Computer Programs
RM/QI Integration
Safety/Disaster Planning
Sentinel Events
Never Events
Which do you see as being an interest for education topics?
Check all that applies.
Claims Management
COBRA
Consent
Corporate Compliance
Forms Development
Fraud & Abuse
Inservice Development
Legal issues/Legislation
Long-Term Care
Loss Prevention/Control
Office Practice
Patient Relations/Advocacy
Patient Self-Determination Act
Peer Review
Policy and Procedures
QI/UR
Risk Financing
RM Computer Programs
RM/QI Integration
Safety/Disaster Planning
Sentinel Events
Never Events
Which of the topic(s) for the boxes checked would you be willing to be a speaker for?
List all that applies.
My preference for a committee assignment would be (Number in order of preference): [ ] Education [ ] Nominations [ ] Membership [ ] Bylaws [ ] Communications
ex:) [5] Education [2] Nominations [4] Membership [3] Bylaws [1] Communications
Would you be interested in participating in the OSHRM Mentoring Program for new risk managers or students?
--Please select--
Yes
No
*
Please enter the text in the security image: