This enrollment form may be completed by a sponsoring organization or eligible program participant. 

 

Complete the required fields and select submit. Once received, our operations department will confirm receipt and/or authorization and a dedicated coach will be assigned to outreach within 1 business day. 

 

If you have questions or do not receive communication from Meridian within 1 business day, please contact Debbie Orostin at dorostin@meridiansite.com.

 

Important:

Services must be pre-authorized by your sponsor organization. Typically, a severance agreement must be signed and a 7-day revocation period must pass before eligibility. Please verify that you have been authorized before completing this form. We will not be able to activate services until we are authorized.

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For eligible outplacement program participants only:

While not required, completing and uploading our Transition Readiness Survey in the appropriate field in the enrollment form will accelerate the process by providing helpful information.

 

Download Transition Readiness Survey