Membership Application

PRSA Richmond Membership Application
Regular Member An individual of any age who devotes a substantial portion of time to the paid professional practice of public relations or to the teaching or administering of public relations courses in an accredited college or university. Associate Member The categories of Associate Member include: PRSSA graduates, individuals devoting full-time energies to earning a doctorate for the purpose of teaching public relations, and individuals with less than two years experience who are devoting a substantial portion of time to the paid professional practice of public relations or to the teaching of public relations courses in an accredited college or university. Retired Member Retired membership may be extended to a Regular Member who has entered retired status and who is gainfully employed less than 50% of the time and has been in good standing for at least 5 years provided such individual makes application for such membership to the Chapter. Retired members shall enjoy all the rights and privileges of Regular Members. Retired members pay $7.50 for every lunch attended


Section 1: Applicant Information
First Name*

Last Name*

Title

Company

Mailing Address*

Address 2

City*

State*

Zip Code*

Work Phone*

Home Phone

Mobile Phone

Pager

Fax

E-mail*

Web Site


Section 2: Educational Background
Educational Background, Date Completed*


Section 3: PR Credentials (Percentages Must Add to 100%)
What percentage of your time is devoted to PR management? *

What percentage of your time is devoted to PR teaching/PR counseling?*

What percentage of your time is dedicated to editing/writing? *

What percentage of your time is dedicated to media relations/publicity?*

What percentage of your time is dedicated to employee relations? *

What percentage of your time is dedicated to advertising?*

What percentage of your time is devoted to financial/investor relations?*

What percentage of your time is dedicated to government relations?*

What percentage of your time is dedicated to consumer & community relations?*

What percentage of your time is dedicated to special events? *

What percentage of your time is devoted to other duties? (Please list the percentage and explain)*

Describe your principal PR duties and range of authority. *

Section 4: Membership Type

Membership Type*

	$175.00 - Regular Member
	$200.00 - Regular Member (with tax-deductible $25 PRSA Richmond Foundation donation)
	$175.00 - Associate Member
	$200.00 - Associate Member (with tax-deductible $25 PRSA Richmond donation)
	$20.00 - Retired Member
	$45.00 - Retired Member (with tax-deductible $25 PRSA Richmond Foundation donation)


Section 5: Payment
Payment Method* Credit card Check Send invoice


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PRSA Richmond

PRSA Richmond Membership Application

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