#12 - POC Gold & Silver Leaf Application for One Year Leave of Membership

Gold and Silver Leaf members in good standing are eligible to request a one year leave of absence from membership with Professional Organizers in Canada (POC) due to personal or professional reasons, with the option to extend the leave for one additional year (to a maximum of two years).

You will not need to provide a reason for the request.

Each request must be approved by the Director of Membership.

A member on leave will cease to be a member of POC, and will not have access to any member benefits until their membership is renewed.

The leave of absence will allow Gold and Silver Leaf members to retain their status upon their return to POC.

Should the absence extend past two years, the member will lose their status.

Date:*

Date

Your Name:*

First NameLast Name

Contact Email During Leave:*

example@example.com

Contact Phone Number During Leave:*

Please enter a valid phone number.

Signature (use trackpad/stylus/fingertip/mouse):*

Level of Status:

GoldSilver

Request:

First YearSecond Year

Date of Membership Renewal:

Date

Noted in Membership Renewal:

YesNoDate:

Request Approval by Director of Membership:

YesNoDate:

Gold & Silver Leaf Application for One Year Leave of Membership

For Office Use Only:

Professional Organizers in Canada