Organization Affiliation Update Form

Organization Affiliation Update Form

Organization Affiliation Update Form
Update a Position

Select this if you need to modify any existing information on the report. This ensures the new employee gets proper credit for their organization, and the previous employee’s affiliation is ended correctly. (For example, when a new employee replaces an old one on the report.)

Create a New Affiliation

If someone affiliated with your organization is missing from the report, select this option. This ensures your organization gets accurate attendance credit when they participate in CATRAC meetings.
Select an option below:*

Update a PositionCreate a New Affiliation
Select an option below
New Employee in Position
New Employee Start Date
New Employee Email
example@example.com
Office Phone Number
Please enter a valid phone number.
Mobile Phone Number
Please enter a valid phone number.

Update Position Form
Organization/Facility Name*
Position Title*
Previous Employee in Position
Previous Employee in Position *

First NameLast Name
Previous Employee End Date*

MonthDayYear
Date
New Employee in Position
New Employee in Position *

First NameLast Name
New Employee Start Date*

MonthDayYear
Date
New Employee Email*
example@example.com
Office Phone Number
Please enter a valid phone number.
Mobile Phone Number
Please enter a valid phone number.

New Affiliation Form
Organization Name*
Position*
Employee in Position*

First NameLast Name
Start Date*

MonthDayYear
Date
Email*
example@example.com
Office Phone Number*
Please enter a valid phone number.
Mobile Phone Number*
Please enter a valid phone number.

Signature*
Should be Empty: