(NAME)
Provide your full name in this section.

For security purposes, proof of identification is required to enter the exam room. Candidates must have an unexpired government-issued photo ID that matches the name used on the application. Candidates without a matching government-issued photo ID will not be allowed to test and will forfeit all fees. A Social Security card is not valid for identification purposes. Please refer to the instructions in this handbook on how to file a name change. Names cannot be modified online.

Please note that the name as it appears on your application will be how your name appears on your certificate.

2 HRCI ID NUMBER (12 digits)
Candidates who have previously been issued an HRCI ID number should indicate their 12-digit number here. If you do not have an ID number leave this section blank. An ID number will be sent to you in the confirmation e-mail and the ATT letter. If applying online, this number will be assigned to you automatically.

SECTION 3 (EXAMINATION)
Enter the exam level (PHR, SPHR or GPHR) you will be taking. Students/recent graduates can only take the PHR or GPHR exam.

SECTION 4 (TEST DATE/WINDOWS)
Indicate the testing window for which you are registering (paper application only).

SECTION 5 (SPECIAL ACCOMODATION REQUESTS)
Candidates requesting special test accommodations should mark this box. Supporting documentation should be included with the application submission.

SECTIONS 6-9 (HOME ADDRESS INFORMATION)
Authorization to Test (ATT) letters, score reports and recertification information are mailed to your home address. These sections can be updated online.

SECTIONS 10-11 (DATE OF BIRTH AND HOME PHONE NUMBER)
Your Social Security number is an optional field. Your birth date should appear as a two-digit month, two-digit day and four-digit year (e.g., March 31, 1957, would be 03 31 1957).

SECTION 12 (INTERNATIONAL/SUBDIVISIONS)
Candidates living outside of the U.S., U.S. territories or Canada should indicate their subdivision (i.e., county, parish), if applicable.

SECTION 13 (INTERNATIONAL/COUNTRY)
Candidates living outside of the U.S., U.S. territories or Canada should indicate their country of residence.

SECTIONS 14—17 (CURRENT POSITION, ORGANIZATION NAME,
FAX AND PHONE NUMBERS)
If currently employed, please enter your current title in the spaces provided. Abbreviations are acceptable if using the scannable form. If not employed, leave these sections blank.

SECTIONS 18—24 (CURRENT ORGANIZATION INFORMATION)
If currently employed, please complete sections 18 through 24 with your organization’s full address. If there is a change in employment after submitting the application but before the exam date, please call PES at (866) 744-HRCI.

Candidates living outside of the U.S., U.S. territories or Canada should complete section 23 (if applicable) and section 24.

SECTION 25 (E-MAIL ADDRESS)
Please include a valid e-mail address. This is a required field. Candidates will be notified by e-mail of exam eligibility. E-mail will be the primary communication mode when relaying other important information. If your e-mail changes, be sure to update the information online.

SECTIONS 26—31 (CURRENT EMPLOYMENT)Students/recent graduates and unemployed HR professionals should not complete these sections.

In section 26, please enter your current job title level.

To complete section 27 on the paper application, please refer to the following HR functions and list the numbers corresponding to your current work function.

HR Work Functions:

50 HR Generalist

51 Employment/Recruitment

52 Benefits

53 Compensation

54 Labor/Industrial Relations

55 Training/Development

56 Organizational Development

57 Legal

58 Health/Safety/Security

59 Employee Assistance Programs

60 Employee Relations

61 Communications

62 EEO/Affirmative Action

63 HRIS

64 Research

65 Consultant

66 Administrative

67 International HRM

68 Diversity

99 Other

In section 28 on the paper application, list the appropriate number from the corresponding business industry code listed below that most closely describes your current organization's products or services.

70 Agriculture, Forestry, Fishing

71 Manufacturing (Nondurable Goods)

72 Manufacturing (Durable Goods)

73 Transportation

74 Utilities

75 Wholesale/Retail Trade

76 Finance

77 Insurance

78 Services, Profit

79 Services, Nonprofit

80 Health

84 Real Estate

90 Educational Services

91 Government

92 Construction & Mining

93 Oil & Gas

95 Library-Corporate/Public/Academic

96 Newspaper publishing and broadcasting

97 Independent Consultant

98 High-tech

99 Other

SECTIONS 29—31 ask for information about your organization’s total size, unit level and department size. This information is used for demographic purposes only.

SECTION 32 (PROFESSIONAL CATEGORY)
This section determines the category in which you will be taking the exam.

Students/recent graduates with two years of exempt-level HR work experience must take the examination as an HR professional under one of the other categories (e.g., HR practitioner, educator, researcher, consultant).

SECTION 33 (HR EXPERIENCE)
Enter the total number of years of exempt-level (professional) HR work experience.

SECTION 34 (PREVIOUS EXAM ADMINISTRATIONS)
Please indicate if you have previously taken one of the HRCI exams.

SECTIONS 35—38 (DEMOGRAPHIC DATA)
Please indicate your gender, primary language, ethnicity and highest education level attained. This information provides helpful demographic data, but is optional.

SECTION 39 (SHRM MEMBERSHIP)
To obtain the reduced rate, which is only applicable to National SHRM members, an individual must list their 8-digit SHRM membership number at the time they apply. Local-only chapter memberships do not qualify for the SHRM member rate.

National SHRM members affiliated with a local chapter and local-only chapter members may include their chapter name and number. A list of SHRM chapter names and numbers can be found on the SHRM Web site at www.shrm.org/chapters.

SECTION 40 (INTERNATIONAL TEST CENTER)
If you intend to schedule the exam at a test center outside the U.S., U.S. territories or Canada, please indicate by completing this section. Otherwise, leave this section blank.

SECTION 41 (PASSWORD)
This password, created by the candidate (and the HRCI ID number that will be mailed to candidates in their confirmation e-mail and their ATT letter) will be required to download the online ATT letter and to access the online review/modify feature. The password can be alpha and/or numeric. It is your responsibility to keep your password in a safe place in order to access your exam application.

SECTION 42 (WORK EXPERIENCE)
Document your exempt-level (professional) HR work experience. Provide enough information about current and/or past work history to demonstrate at least two years of exempt-level (professional) HR experience.

Starting with the most recent employer with which you held an exempt-level HR (professional) position, list the organization’s name, telephone number, the position code(s) of theHR position(s) held and the month/year of the corresponding start and end dates. If you have held more than two positions with a given employer, use the space below each ­column to provide additional information.

Position codes must be an exact match. Job titles that do not appear on the approved position codes list are considered “other” (999) position codes. Candidates whose work experience includes an “other” code must complete the supporting documentation form and submit it with any other supporting documentation that outlines job responsibilities (e.g., a current job description) at the time of application. Applications submitted without the supporting documentation form are incomplete and may cause candidates to be ineligible to take the exam.

Student/recent graduate and recertification-by-examination candidates should not complete this section. Students/recent graduates should submit a completed Student/Recent Graduate Verification form in lieu of completing this section.

Approved Position Codes

001 AA/EEO Specialist

002 AA/Policy & Procedure Administrator

003 AA/EEO Analyst

004 AA/EEO Manager

005 AA/EEO Director

006 Assistant HR Manager

007 Assistant HR Director

008 Assistant VP Human Resources

010 Benefits Specialist

011 Benefits Director

012 Benefits Supervisor

013 Change Management Manager

014 Classification/Compensation Administrator

015 Classification/Compensation Analyst

016 Compensation & Benefits Specialist

017 Compensation & Benefits Administrator

018 Compensation & Benefits Analyst

019 Compensation & Benefits Manager

020 Compensation & Benefits Director

021 Compensation & Benefits Supervisor

022 Compensation & Benefits Vice President

023 Compensation & Benefits Consultant

024 Compliance Specialist

025 Education & Development Manager

026 Employee Benefits Manager

027 Employee Benefits Supervisor

028 Employee Relations Administrator

029 Employee Relations Analyst

030 Employee Relations Manager

031 Employee Relations Director

032 Employee Relations Specialist

034 Employee Relations Vice President

035 Employment Specialist

036 Employment Administrator

037 Employment Analyst

038 Employment Manager

039 Employment Director

040 Employment VP

041 Employment Law Attorney

042 Employment Practices Specialist

043 Employment Practices Administrator

044 Employment Practices Analyst

045 Employment Practices Manager

046 Employment Practices Director

047 Employment Practices Vice President

048 Health & Safety Specialist

049 Health & Safety Administrator

050 Health & Safety Analyst

051 Health & Safety Manager

052 Health & Safety Director

053 Health & Safety Vice President

054 HR Administrator

055 HR Analyst

056 HR Specialist

057 HR Manager

058 HR Director

059 HR Vice President

060 HR Consultant

061 HR Generalist

062 HR Research Analyst

063 HR Supervisor

033 HR Professor (full-time)

064 HRD/Training & Development Specialist

065 HRD/Training & Development Administrator

066 HRD/Training & Development Analyst

067 HRD/Training & Development Manager

068 HRD/Training & Development Director

069 HRD/Training & Development Supervisor

070 HRD/Training & Development Vice President

071 HRIS Specialist

072 HRIS Administrator

073 HRIS Analyst

074 HRIS Manager

075 HRIS Director

076 HRIS Supervisor

077 HRIS VP

078 Industrial Relations Specialist

079 Industrial Relations Administrator

080 Industrial Relations Analyst

081 Industrial Relations Manager

082 Industrial Relations Director

083 Industrial Relations Supervisor

084 Industrial Relations VP

085 Job Developer/Specialist

086 Job Placement Specialist

087 Labor Relations Specialist

088 Labor Relations Administrator

089 Labor Relations Analyst

090 Labor Relations Manager

091 Labor Relations Director

092 Labor Relations Supervisor

093 Labor Relations VP

094 Military Personnel Officer

095 Organizational Development Specialist

096 Organizational Development Administrator

097 Organizational Development Analyst

098 Organizational Development Manager

099 Organizational Development Director

100 Organizational Development VP

101 Payroll/Benefits Specialist

102 Recruiter

103 Recruitment Manager

104 Recruitment Director

105 Safety Manager

106 Staffing Administrator

107 Staffing Manager

108 Staffing Director

109 Staffing Supervisor

110 Staffing VP

111 Trainer

112 VP of People

113 Workers’ Compensation Specialist

114 Workers’ Compensation Analyst

115 Workers’ Compensation Manager

116 Workers’ Compensation Director

117 Workforce Planning Manager

INTERNATIONAL

120 Expatriate Programs Manager

121 Global Mobility Manager

122 Global Recruiter

123 Global Staffing Manager

124 Global Supplier Relations Manager

125 Global Talent Manager

126 International Compensation & Benefits Manager

127 International Employment Law Attorney

128 International HR Consultant

129 International HR Director

130 International HR Immigration Specialist

131 International HR Manager

132 International HR VP

999 Other

SECTION 43 (PERMISSION TO CONTACT YOU AND TO SHARE YOUR INFORMATION WITH SHRM.)
HRCI would like to provide you with information about your certification. We may do so primarily through e-mail, including a quarterly newsletter and recertification reminder notices. Certificates are mailed to your primary address. HRCI also lists newly certified individuals on our Web site. While HRCI does not make our mail list available to outside organizations, we do share certification and contact information with the Society for Human Resource Management (SHRM). If you DO NOT wish HRCI to share your information with SHRM, you will need to contact SHRM separately for any address updates you may have. If you allow HRCI to share your information with SHRM, please note that SHRM makes its mailing address information available to its affiliates (for example, the SHRM Foundation and SHRM chapter and state councils) and through mail list sales unless you notify SHRM directly that you do not wish this information to be shared.

SECTION 44 (AFFIRMATION)
Candidates are bound by the policies and procedures outlined in this handbook. Read and sign the affirmation in section 44. Applications received without signatures will not be processed.

SECTION 45 (FEES)
Paper application only. Fees paid online are automatically calculated depending on the date in which the application is being submitted, the type of exam being taken and whether the candidate is an SHRM member.

Mark the applicable fees in this section. If the application is postmarked after the regular deadline but on or before the late deadline, include the late fee. If proper payment is not included at the time of application, application processing will be delayed, you may be assessed the resubmission fee and you may be deemed ineligible to take the exam.

Fees charged to VISA, MasterCard or American Express must include the information requested in section 45, including the cardholder’s name and signature. Payments made by money order, certified/cashier’s check or organizational check should be made payable to Professional Examination Service. Be sure to include payment with the application and indicate your name and home telephone number (including area code) on the check or money order.

Mail-in payments received without a completed application packet or without the candidate’s name indicated on the check or money order may be returned to the sender.