Wellness Champion Registration Form Become a Wellness Champion Sign up to be a Wellness Champion to represent your department by taking a lead on health and wellness programming Name*Years employed in current position?<11-23-45-910+Total years employed with the University of Tennessee?<11-23-45-910+PositionFacultyStaff (Non-Exempt)Staff (Professional)Staff (Executive)TitleDepartmentCampus PhoneE-mail*Campus Address / BuildingWhat reasons motivated you to sign up to become a Wellness Champion?*What is your philosophy of "wellness"?*Be Well's philosophy is simple. Small steps can lead to big change. What ideas do you have for promoting "wellness" as a Wellness Champion?Please read the the following description of the responsibilities of a Wellness Champion before submitting your application. Wellness Champion objective: Be Well Seeks to improve the overall wellness of UT Knoxville employees through health education and wellness activities that support positive lifestyle choices. Our primary objectives are to increase physical activity, healthy eating, and tobacco cessation. Wellness Champions will serve as ambassadors for Be Well to their department or office. Be Well programming and resources to co-workers. This may include leading or organizing programs for the represented area when necessary. Wellness champions will also play an important role in shaping the wellness culture and programs offered by providing constructive feedback to the Be Well Coordinator regarding campus and specific area needs. Attributes of a Successful Wellness Champion: - Passion for personal health and wellness - Desire to help others - Enthusiasm for wellness programming Responsibilities: - Attend one wellness champion orientation meeting - Lead by example through practicing healthy behaviors and participating in Be Well programming when possible - Assist in communicating Be Well Program by sharing provided emails with respective departments and posting provided materials (poster, flyers, etc..) - Strive to build a culture of wellness within the office/department/building - Identify potential employee success stories and share them with Be Well Coordinator - Serve as a trusted source for collecting feedback and input from Be Well program participants The Wellness Champion role is an additional, volunteer duty and should not interfere with primary job duties. Volunteers should maintain communication with supervisors regarding activities related to the Be Well Program. A reasonable amount of time involved with responsibilities listed above should be no more than two (2) hours per month* I understand and agree to all expectations of a Wellness Champion CommentsThis field is for validation purposes and should be left unchanged.