Please complete this survey to receive your certificate of completion for work credit and 10 points towards your 2021-22 Healthy Actions Medical Plan. 

Please be truthful when completing the survey for each of the classes. Documentation collected in the survey may be provided to your department upon their request.

Once you complete this survey, you will be redirected to generate your certificate of completion that you can provide to your supervisor.

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* 1. First Name

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* 2. Last Name

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* 3. Date of Completed Training

Date

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* 4. Employee ID Payroll Number

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* 6. E-mail Address

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