2024-2025 NMPSIA Wellness Ambassador Application

The New Mexico Public Schools Insurance Authority (NMPSIA) Wellness Program is launching the 2024-2025 Wellness Ambassador program to support the overall health and well-being of New Mexico Public School employees. To promote wellness initiatives at schools and work-sites throughout the state, we are recruiting volunteer Wellness Ambassadors to take this holistic wellness program to their co-workers. Our wellness program providers will partner with us in this initiative.

Wellness Ambassadors are advocates for healthy living, no matter where they are in their personal health journeys. They champion the wellness of themselves and their colleagues at their school or work location. The ideal Wellness Ambassador candidate will be:

• Committed to the health and wellness of themselves and their colleagues
• A great communicator
• Willing to take initiative
• Inspiring to others
• Comfortable promoting wellness programs, both in person and in writing
• A role model for health and well-being

If you, or someone you know, would like to become a NMPSIA Wellness Ambassador, please complete the application below.

(*) Response is required.

Question Title

* 1. You must obtain support and approval for your role as a Wellness Ambassador. Have you discussed being a Wellness Ambassador with your Supervisor/Manager?

Yes

Question Title

* 2. Employee Information

First Name

Last Name

School Disctrict

School or Worksite Name

School or Worksite Address

Department

Phone number

Email Address

Your Best Mailing Address (street/PO box, apt, building, suite etc. )

Your Best Mailing Address (city, state, zip)

Question Title

* 3. Supervisor/Manager Information

First Name

Last Name

School or Worksite Name

Supervisor's Title

Supervisor's Email