KPHRA Application For Membership

First Name*

Last Name*

Title

Employer

Business Address

Business City

Business State

Business Zip

Business Phone

Business Fax

Email *

Website

Home Address

City

State

Zip

Phone

Referred by

Membership Type *

Signature *

Date *

I recommend the following as potential members to the Kentucky Public Human Resources Association

Name

Phone

* Agency members may send up to four people to meetings at membership rates.

The Kentucky League of Cities serves as the united voice of cities by supporting community innovation, effective leadership and quality governance.