Introduction and company information

Page1 / 3
33% of survey complete.

The Vermont Governor’s Council on Physical Fitness and Sports congratulates you on all of the work you have done over the last year, and thanks you for taking the time to apply for a 2018 Worksite Wellness Award. The application covers the work your organization has done over the last 12 months.

Thank you so much for making a difference in the lives of your employees by creating environments where they can thrive and be well day after day.

We look forward to seeing you at the 2018 Annual Worksite Wellness Conference, March 21, 2018!  Registration will open December of 2017.

IMPORTANT: Please try to complete your application in one sitting to avoid having to input your information twice. You may go back and edit your response but you must use the same browser.

You can download a PDF of the application prior to completing it online.

DEADLINE: The deadline for FINAL submission is 11:59 p.m. on October 31, 2017, at which time the link will permanently close and disallow further entries.
CONTACT:  Please email Ashwinee Kulkarni at with any questions or issues with the application. 
SCORING: Please download the scoring rubric for detailed information on how each question will be scored.

* 1. Please complete the following information. 
- Please do not use all caps!
- Enter names in a "First Name Last Name" format without commas or titles.

* 3. What department leads your wellness strategy?

* 4. How many people are employed in your organization?

* 5. Does your organization have multiple locations?