ChooseWell Grant Application
Choose Well. Be Well...in 2013!

The company's ChooseWell Grant supports employee involvement in community and workplace wellness initiatives targeting weight loss, nutrition, fitness and tobacco cessation. Managers may apply for up to $1,000 to fund such initiatives.


ChooseWell Grant Criteria:

1) The activity must target the ChooseWell goals of lowering BMI and glucose levels and include a physical activity.

2) Wellness initiatives must be open and available to all employees reporting to the requesting manager.

3) Results must be documented and shared (in the aggregate) with Corporate Health & Safety.



Applicant Name(s)
Contact Email Address
Job Title
Department
Location
Phone Number
# of Employees in Department
Estimated # of Employees Participating

Total amount of funding required for initiative

ChooseWell grant will match funds up to $1,000

Describe your initiative and how the funds will be spent:
Please specify your goals, expectations and intended results — for yourself and your employees — for this wellness activity.

Send