SASH Staff Member Update Form

SASH Staff Member Update Form
This information will be put into our SASH Directory and used for system permissions to ensure proper communication with our team and community members.
Your Information

(person completing form)
Your Name*

First NameLast Name
Your Title*
Your Organization*
Your Email*
example@example.com
Your Phone Number

Area CodePhone Number
What would you like to do?*

Enter New Staff Member (new staff, NEW to SASH not for panel changes)Temporary FAMCare/Bamboo Health AccessUpdate Existing Staff Member Panel(s)Remove Existing Staff Member (no longer employed by SASH, NOT for panel changes)Update Existing Staff Member Information (work phone, work email, name, position title, change supervisor)Temporary Leave of Existing SASH Staff Member (for staff going on temporary leave, one month or more)