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:
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.Format: (000) 000-0000.
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

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

First NameLast Name
Previous Employee End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
New Employee in Position
New Employee in Position

First NameLast Name
New Employee Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
New Employee Email
example@example.com
Office Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

New Affiliation Form
Organization Name
Position
Employee in Position

First NameLast Name
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Office Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Signature
Should be Empty: