WellPath Endorsed Events are considered and approved based on the following criteria: accessibility, benevolence, and health benefits. Please answer all questions or provide specific information about the event you are nominating. The event must have a website with registration and/or information to be endorsed. All WellPath Endorsed Events will be approved for 10 WellPath points.

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* 1. Name:

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* 2. Employee ID:

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* 3. Email Address:

Please answer the following questions about the event/activity you are nominating:

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* 4. Event Name:

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* 5. Start Date:

Date

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* 6. End Date:

Date

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* 7. Is this event accessible by all or a majority of employees?

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* 8. Is the registration and information for this event on the web?

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* 9. Does a portion of their proceeds go to a non-profit cause?

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* 10. Is this event sponsored by an alcohol or tobacco product?

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* 11. Will alcohol or tobacco be provided?

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* 12. Comments:

Thank you for your event nomination. WellPath will review your submission and provide you a response via email. For questions, please email us at Wellness@SRPMIC-nsn.gov.

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