Application If you have questions about this event or how to apply, please contact Jessica Sims at jsims@bridgetowermedia.com Applications are due March 16. Wealth of Health Application Form 2021 Company*Company Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Website*Number full/part-time employees ALL LOCATIONS:*Number full/part-time employees ROCHESTER AREA:*Name* First Last Email Address* In addition to Employer of the Year, what categories are you applying for?* Best Health Success Story Rookie of the Year Health and Wellness Champion of the Year Best Company Group Event Best Wellness Innovation Employer of the YearWhat are the top three goals of your wellness program?How does your program go beyond the traditional focus of physical health (nutrition/physical activity/biometric screening) to support the overall well-being of your employees?Who coordinates and promotes your wellness program? Please describe who is involved in planning, promoting and evaluating your wellness program. (For example, is employee wellness part of someone’s job description; is there a wellness committee or wellness champions?)How is wellness visible in your workplace? (For example: healthy vending options, take the stairs campaign, smoke- free policy, etc.)Please describe the strategies you use to engage employees in your programs. (For example: incentives, communication strategies, etc.)How do you measure the success of your wellness program? Please describe any trends you have identified and/or how the data has helped you develop your wellness program. (For example: participation, engagement, outcomes)Please share the participation results for each of your wellness activities and provide some details about that information. (For example: what activities draw the highest participation; how much of your workforce participates; has participation increased, decreased or stayed the same over time?)How has your wellness program become part of your workplace culture?Please list all years in which your organization was recognized as an honoree.Please provide your participation statistics for your last winning year and the current year?What have you done differently since the last time your company was an honoree? (For example: how has your program expanded or improved? How have these changes impacted results? What long-term gains or improvements have you and your employees seen?)Best Company Group EventDescribe the signature event or cause that your employees embrace. (For example: bring your pet to work day, participation in a community walk or run, etc.) Please include such things as number of participants, frequency & duration of the program (i.e., done monthly, annually, how many consecutive years).Please describe how support of this cause or event has led to other positive wellness behaviors in your organization.Health and Wellness Champion of the YearEmployee's Name First Last Employee's TitleDescribe what this individual does to bring your wellness program to life? (i.e., organizes department wellness events like lunch time walks or healthy pot luck lunches; participates in all events; exhibits healthy behaviors beyond formal program participation).How has your program been impacted by this person’s commitment? (i.e., increased awareness and participation of wellness programs, success stories, new programs/initiatives identified, etc.)Best Health Success StoryEmployee's Name First Last Employee's TitleWhat was the employee's health success story and how did the company's wellness program contribute to it?Best Wellness InnovationWhat does your program do that is new and different to promote the wellness of your employees?When did your wellness program adopt this wellness innovation?Rookie of the YearWhen did your wellness program start?Have you nominated your wellness program for the Wealth of Health awards before? If so, what year(s)? Share this:EmailPrintFacebookTwitterLinkedIn 2021-01-12 jwhong