EmailMeForm
Membership Leave Application Form
This form collects all the information the CASLI office needs to process your membership leave application.
Please be ready to upload supporting documents if your leave is for medical or education reasons.
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Your Name
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First
Last
Your Email Address
*
Text number
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What Affiliate Chapter(s) are you a member of?
ASLIA
ASLI-NB
MAPSLI
MAVLI
NAVLI
OASLI
WAVLI - If click here, please also visit https://wavli.com/reduced-membership-dues-request
In-Lieu
Select Reason Membership Leave is Required
*
Bereavement
Compassionate Reasons
Continuing Education
Maternity/Parental Leave
Medical Leave (Illness or Injury)
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