The Hidalgo County Wellness Program encourages all Hidalgo County employees, Department Heads, and Elected Officials to nominate a colleague who models a healthy lifestyle, has made significant changes in their health behaviors, or helps to motivate others into making healthy lifestyle improvements. Each month, one Wellness Champion will be featured on the Hidalgo County Wellness Beat monthly newsletter. All Hidalgo County employees are eligible nominees.

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* 1. Nominator's full name:

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* 2. Nominator's E-mail Address:

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* 3. Nominator's Phone Number:

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* 4. Nominator's current department:

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* 5. Nominee's full name:

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* 6. Nominee's E-mail Address:

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* 7. Nominee's Phone Number:

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* 8. Nominee's current department:

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* 9. Nominee's job title:

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* 10. Please explain why you have nominated this employee below:

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