Application for Compassion Waiver of Society Dues

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Application for Compassion Waiver of Society Dues

Please complete the form in its entirety. If an incomplete form is submitted, the applicant will be requested to reapply.

  • (Applications are reviewed on a case-by-case basis.)
  • Be specific. If out of work, indicate last position and name of company worked for.
  • The undersigned certifies that all statements made herein are true and, if granted a deferment and waiver of the Society dues, agrees to abide by the conditions stated herein.
  • A letter from the Chapter President supporting your request MUST be submitted with this form.

A Compassion Waiver of Dues will only be granted for a maximum of a three (3) month increment, with a maximum amount of four (4) waiver renewals permitted. It shall be the responsibility of the member and the Chapter President to immediately inform the Society’s Membership Director or Executive Director when the condition for which the Compassion Waiver of Dues has been granted ceases to exist.

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