Member Status Report

Member Status Report

BNI SC Lowcountry
Date of Submission*

MonthDayYear
Date
BNI Chapter Name*
Your Name*

First NameLast Name
Your E-mail*
Your Position*
There are three ways a member is removed from the chapter roster.
1. The member drops their membership or chooses not to renew their membership.
2. The Membership Committee terminates the membership.
3. The Membership Committee does not approve renewal of membership.
Member's Name*

First NameLast Name
Reason for Dropping Member*
This allows the regional office to track by reason so that we can work to help with retention in the region.
TERMINATIONS/DECLINED RENEWALS: Notify your Chapter Director BEFORE notifying the member.
Membership Committee TERMINATED the membership for the following reason
*Notify your Chapter Director BEFORE notifying the member.
Membership Committee DENIED RENEWAL for the following reasons

Lack of ParticipationLack of Referrals GivenLack of Visitors InvitedOther
Remove Member from Chapter Roster as of: *

MonthDayYear
Date
Additional information for the Director Team
The Membership Committee feels this member left in good standing and is eligible for a certificate of credit

YesNo
Medical Leave: Vice President to record “M” on the weekly PALMS report. No additional reporting to the Regional Office is required.

Classification Change: Member must submit New Member Application to the chapter for approval by the Membership Committee. Have member write “Classification Change Only” on application. Forward approved application to Regional Office.

Company Rep. Change: New Company Representative submits New Member Application to the chapter for approval by the Membership Committee. See Fee Matrix for any applicable fees. Have member write “Company Rep Change” on application. Forward approved application to Regional Office.

Member Changes Jobs: New Member Application is submitted to the chapter for approval by the Membership Committee. See Fee Matrix for applicable fees. Forward approved application to the Regional Office.
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