Free Employee Wellness Champion Nomination Form

Recognize workplace wellness advocates with Template.net's Employee Wellness Champion Nomination Form Template. This editable and customizable tool provides a structured format for nominating employees who promote well-being initiatives. Utilize our intuitive Ai Editor Tool to tailor the form to your organization's specific needs effortlessly, fostering a culture of wellness appreciation.

Nominator Information

Name	[Your Name]
Department	[Your Office Department]
Email	[Your Email Address]
Contact Number	[Your Contact Number]

Nominee Information

Name	[Second Party Name]
Department	[Nominee's Department]
Email	[Nominee's Email Address]
Contact Number	[Nominee’s Contact Number]

Endorsements
It is recommended to have at least one endorsement from a colleague or supervisor to strengthen the nomination.
Endorser's Name	[Second Party Name]
Relation to Nominee	[Colleague/Supervisor]
Comments

Nomination Details
Why are you nominating this person to be an Employee Wellness Champion?

Please provide examples of how the nominee has promoted health and wellness in the workplace.

Free Employee Wellness Champion Nomination Form

You may also like