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Application Submission and Review Procedures

1. Please fill out this form and submit it electronically using the Submit button.

2. If your don't want to pay online, after receiving your e-mail confirmation, please print a copy of it and mail or fax it with your payment or credit card information to:

P.O. Box 2153
Springfield, VA 22152

Phone: (703) 451-0222
Fax: (703) 912-4202

3. The cost of applying includes the annual membership fee and a $15.00 non-refundable processing fee. Checks should be made payable to HRA-NCA. You may also pay by MasterCard, Visa, or American Express. To do so, please provide your credit card information and expiration date with your mailed or faxed copy.

4. Upon receipt of your completed application, it will be reviewed by the HRA-NCA VP Membership. Shortly after this review, you will be informed in writing of the acceptance or rejection of your application. Once accepted and your first year dues are paid, you will receive notice of membership activation.

Application to Join HRA-NCA

Member Contact Information
First Name    required
Middle Initial 
Last Name    required
Home Address    required
Home City    required
Home State    required
Home Zip Code    required
Home Telephone    (xxx-xxx-xxxx)  required
Business Telephone    (xxx-xxx-xxxx)
Fax    (xxx-xxx-xxxx)
E-mail Address    required
Send my mail to my 

Login Information
To access our membership directory after becoming a member, your E-Mail address and a password are required. Please specify a Password.

Password   required
Repeat Password   required

Current Position

If you are unemployed, use this space to describe your last position.

Total HR Professional experience 
Position Title 
FLSA Status 

Organization's Name 
Zip Code 
Organization's Principal Activities 
Number you Supervise 
Percentage of Time Spent Performing Human Resource Work  %
Dates Employed (MM/YYYY)  From   to 

For "Present", leave the data field empty!

Education/Professional Membership(s)
Highest Education Level 
Member of SHRM? 
Member Number   ($10 credit)
HRCI Accreditation   
Other Certifications   
Other HR Organization Membership   

Demographics Information
Industry Group 
Primary Education 
Total Organization Size 
Local Employee Population 
HR Department Size 
How did you hear about 

I agree to practice and uphold the CODE OF ETHICS of the HUMAN RESOURCE ASSOCIATION OF THE NATIONAL CAPITAL AREA and to help carry out the objectives of the Association. I understand and agree that I will not use my membership in this organization, its directory, or services for personal monetary gain, and I understand and agree that my HRA-NCA membership is not transferrable and will not be shared with any other individual.

Date:   required
Membership Category
Membership Information  required

Dues  $
Processing Fee  $
Deduction for SHRM Member  $
(You must include your membership number above)
Amount Due   $

Members will:

  • Support and enhance the goals and objectives of the Human Resource Association of the National Capital Area and the Society for Human Resource Management in order to reflect the highest standards of the human resource management profession.
  • Respect the dignity of individuals and accept the obligation to foster programs which recognize rights, privileges, contributions, and opportunities for all people.
  • Practice the highest standards of integrity and confidentiality in relationships with members and in business dealings with others in the field.
  • Ensure that Association affiliation is not used to secure special privilege, gain, or benefit for themselves, their employers, or the Association.
  • Support the personal and professional development programs of the Association to help create an environment of recognition and advancement of the human resource management profession.