IASLC Hardship Assistance Request Form
The IASLC Hardship Assistance Program provides temporary financial support to current or prospective members who are experiencing significant financial hardship that impacts their ability to pay membership dues or participate in select IASLC programs. The primary purpose of this program is to provide full or partial waivers of membership dues. All requests are reviewed confidentially and on a case-by-case basis. Submission of this form does not guarantee approval.
Eligibility Overview
Hardship assistance may be considered for individuals experiencing circumstances such as but not limited to job loss or significant reduction in income, illness, disability, or medical emergencies, natural disasters, political unrest, or displacement, economic challenges affecting your country or region, or any other unforeseen or extenuating circumstances Applicants may be asked to provide brief documentation to support their request.
Applicant Information
Please fill out the below information.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Country of Residence
*
IASLC Member ID Number (if applicable)
Are you currently a member of the IASLC?
Yes, I am a current member.
No, I have never been a member.
No, I was a previous member.
Back
Next
Hardship Information
Please fill out the below information to the best of your ability.
Briefly describe the nature of your financial hardship and how it impacts your ability to pay membership dues.
*
When did this hardship begin?
*
Upload any supporting documentation if applicable.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Engagement
This section is optional but helpful for the IASLC Membership Team's review.
Have you previously received hardship assistance from the IASLC?
Yes
No
If yes, please indicate the year and situation.
Briefly describe how you currently or plan to engage with the IASLC (conferences, committees, Thoracic Circle, educational resources, research, etc.).
Back
Next
Terms & Conditions
By submitting this form, you acknowledge that:
Please select that you acknowledge all the following information:
*
All information provided is accurate and truthful to the best of your knowledge.
The IASLC may request supporting documentation to evaluate your request.
Hardship support, if granted, is time-limited to one membership term.
Continued hardship support requires reapplication and reassessment.
The IASLC reserves the right to deny requests that do not meet hardship criteria.
All information submitted will be handled confidentially and stored securely in accordance with the IASLC data policies.
Submit
Should be Empty: