2010 CONFERENCE REGISTRATION

Register SOON --- space for this exciting conference is limited!

Please note: REGISTRANTS MUST MAKE THEIR OWN HOTEL ACCOMODATIONS. Reservations will NOT be made by the Conference Committee.

LAST Name


FIRST Name


Title [use n/a, retired or in-transition as needed]


Company [use n/a, retired or in-transition as needed]


Size of company
n/a    Less than 50    51 - 249    250 - 999    1000 - 4999    5000 - 9999    10000 or more   

Street Address


City


State
NC    SC    Other   

Zip Code


Phone [area code - exchange - number - extension, if any]


Email


Name on Badge


Professional Certification
PHR    SPHR    Other    None   

Local HR/SHRM Chapter affiliation:


EARLY BIRD REGISTRATION FEE = $175 available for payments RECEIVED by Friday, March 26, 2010 ($195 after 3/26/2010). If paying by check or money order, please remit to: Carolinas’ HR Conference, P.O. Box 6147, Winston-Salem, NC 27109-6147. If paying online by credit card or PayPal, you will be able to handle the transaction after you hit SUBMIT at the end of this form. NOTE: The registration fee is non-refundable after April 7, 2010. I will pay by:
Credit card or PayPal that is registered in MY NAME
Credit card or PayPal that is registered to SOMEONE ELSE
Mail

IF you indicated that you were PAYING BY CREDIT CARD that is REGISTERED to SOMEONE OTHER THAN YOU, please enter that person’s NAME. IF this question does NOT APPLY to you, just enter N/A. YOU MUST ANSWER THIS QUESTION.


How did you hear about the Carolinas’ Human Resources Conference?


How many years have you been attending the Carolinas’ HR Conference?
1 - 5 years    6 - 10 years    11 - 15 years    16 - 20 years    21 - 25 years    More than 25 years   

Why have you chosen to attend the conference(s)?
Good for my HR career
HRCI credits
Location
Networking opportunities
Speaker(s)

If you elected to mail your payment, please PRINT THIS PAGE NOW and include a copy of it with your payment.

If you have selected to pay online, you will be able to make a secure, online payment after you hit SUBMIT below.

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REGISTRANT SURVEY (OPTIONAL)

Please take a moment to complete the following survey which will help one of the conference presenters prepare a targeted presentation based on registrant feedback!

If you do not care to participate in this survey, please scroll to the bottom of the form to SUBMIT your registration.

For questions below regarding social media, this could include but is not limited to types of social media including: online discussion groups, blogs, professional networking sites (i.e. LinkedIn), social networking sites (i.e. Facebook), and microblogging (i.e. Twitter) and websites.

1. Do you currently use social media in your Human Resources role?
Yes    No   

2. If your answer is YES to the above, please indicate which social media you use (check all that apply). If your answer is NO, please skip to question 4:
Facebook    LinkedIn    Twitter    Other   

3. What are the reasons you are using social media? (check all that apply)
Recruitment
Assessing candidates and employees
Corporate branding
Business development
Other corporate initiatives

4. Does your company have a social media policy?
Yes    No   

5. Are you a member of any social networking sites? (check all that apply)
Facebook    LinkedIn    Twitter    Other   

6. What would be the most beneficial topics regarding learning more about the use of social media? (indicate one choice):
Overview and general points on leveraging a variety of social media
Special focus on LinkedIn including developing a full profile, “best practices” and advanced
Other

6a. If OTHER, please describe:


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