ILCA Financial Hardship Assistance Request Form

ILCA Financial Hardship Assistance Request Form
At the International Lactation Consultant Association (ILCA), we understand that members of our community may experience unexpected or temporary financial barriers. We are committed to supporting you so you can maintain your connection to the global lactation community.

Please complete this brief form to help us understand your situation and provide appropriate membership dues assistance. Please note that assistance applies to ILCA membership dues only and does not cover educational programs, webinars, or conference registrations.
Contact Information
Full Name

First NameLast Name
Email Address *Email must match your ILCA portal account email
example@example.com
Current Country of Residence
Current ILCA Membership Status
Information Request
Please briefly describe the circumstances surrounding your temporary financial hardship:
How will continuing or gaining your ILCA membership support your professional goals at this time?
Do you currently work in the maternal/child space
Acknowledgement
Should be Empty: