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Healthy@Harris Wellness Champion Application 2026-2027

Are you passionate about health & well-being? Become a Wellness Champion!

Fill out the form below to apply to be a wellness champion for the upcoming Healthy@Harris Rewards Program year (March 1, 2026 - February 28, 2027).

If you are a current wellness champion, please reapply.

Applications are due on Friday, February 13, 2026.

By submitting an application, I agree to be a Wellness Champion from March 1, 2026, through February 28, 2027, and to fulfill the wellness champion expectations to the best of my ability. I understand that this is a volunteer position, and I am promoting health and wellness to employees both within and outside of my department.

1.First Name(Required.)
2.Last Name(Required.)
3.Employee ID(Required.)
4.Phone Number(Required.)
5.Email(Required.)
6.Department (which group(s) will you be engaging? This helps us make sure we have adequate coverage across the system.)(Required.)
7.Which location would you be representing?(Required.)
8.Why do you want to be a Wellness Champion?(Required.)
9.What activities would you like to see implemented to enhance wellness in your department or site?
10.I have read and agree to the Wellness Champion Role Description.

Only "yes" responses will be considered for the program.(Required.)
Current Progress,
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