Member Status Report

This form provides notification to the Regional Office of roster changes. Please use one form per membership change.
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  • There are three ways a member is to be removed from the chapter membership roster.
    1. The member resigns their membership or chooses not to renew.
    2. The Membership Committee terminates the membership.*
    3. The Membership Committee declines the member's renewal.*
    *Required Director Approval
     
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  • This allows the Regional Office to track the reason members have left the organization.
     
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    Enter the date of the member's last meeting OR date in which the chapter terminated the membership. If the member submitted a resignation letter please copy/paste the notice in the Additional Information box below.
     
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