Vitality Project™ Enrollment Application Applicant Information Question Title Name Question Title Role Firefighter EMT/Paramedic Public Safety Professional Medical Professional Other (please specify) Question Title Years in Service 0-2 3-5 6-10 11+ Question Title Department Name or Organization (For verification, optional but encouraged) Question Title Email Address Question Title Phone Number Personal Growth & Goals Question Title What’s your biggest resilience challenge? Financial Commitment Question Title How much can you contribute to your enrollment? $50 $100 $150 $250 (Full Rate) Final Steps & SubmissionWe’re excited to have you as part of the Vitality Project™! Question Title How did you hear about the Vitality Project™? Social Media Friend Event Other (please specify) Question Title Any additional thoughts you'd like to share? Submit Application
