DHF Wellness Champion Application

Name(Required)
Which are you?(Required)

Agreements: Please check the boxes to verify your eligibility

I agree to be a DHF Wellness Champion and promote a culture of wellness in my work environment.(Required)
I give permission for DHF Wellness Champion Network to use my name and image on the website and in promotional materials, and to share my demographic information within the Champion network.(Required)
If I am no longer able to serve in this role, I will do my best to find a co-worker who could fulfill this role.(Required)