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American Society for Radiation Oncology
 
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ASTRO Dues Waiver Request Form

There are times when members may need relief from their annual dues assessment due to natural disaster, illness, physical impairment, other health emergencies or another reason that affects their ability to practice. The ASTRO Board of Directors recognizes that these challenges can arise and has, therefore, enacted a financial hardship policy to help members maintain their membership when practice may not be possible.

Please fill out the form below to be considered for the dues waiver. For questions, contact the ASTRO membership team.

Note: * denotes required field

Personal Information

*Reason for Request

*Explanation

Please describe the reason for requesting relief from your ASTRO dues assessment. ASTRO Membership Committee may request additional information to assist in making a determination.

*Decisions regarding dues waivers for natural disasters and other special situations fall within the purview of the ASTRO Membership Committee. The Committee will review and evaluate petitions on a case-by-case basis and will report decisions to the ASTRO Board of Directors. If approved, you will retain your membership status and benefits for the dues year in question. You will be notified of the decision no more than 30 days after receipt of request.

Confidentiality Notice: Information about the circumstances and decision regarding this request will be limited to the ASTRO Membership Committee and the ASTRO Board of Directors.

By initialing above and clicking submit, you acknowledge that this information is accurate.

American Society for Radiation Oncology
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Telephone: 703-502-1550
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