Wellness Advocate Application

Personal Information

Name

BYU ID (9 digits)

Campus Phone

Campus Email

Job Title

Department

Please provide some information about the department or campus group that you would like to serve.

Department Name

Supervisor Name

Supervisor BYU Email

Number of Employees (Excluding students)

How many are faculty?

How many are admin/staff?

Verification

Check Yes if you have spoken with your supervisor (as well as the leader for the department you will be serving) about this volunteer position.

Yes

No

About you

What interests you most about being a Department Wellness Advocate?

What qualities do you have that would contribute to your success in the role of a Department Wellness Advocate?

What health and wellness topics do you feel are most relevant for your department and why?

Commitment

Please verify your commitment to the following requirements:

I am willing to fulfill the responsibilities of a Department Advocate

I will work within the guidelines of my department leader and/or supervisor.

I will only promote basic, and widely accepted health and wellness principles and practices.

Fill out the form below to apply to be your department's Wellness Advocate. Your application will be sent to your supervisor for approval.