Worksite Wellness Award

The Partnership welcomes nominations for the Worksite Wellness Award. This award recognizes innovative, measurable efforts by a business or organization to facilitate and encourage employee health and to ensure healthy work environments.

The Worksite Wellness Award recognizes an organization that has created a wellness culture and supported employees in improving their health. The Partnership would like this award to recognize a specific, result oriented, program or initiative which promotes health and wellness and is supported by the worksite/workplace.

Please keep in mind that past recipients, Partnership staff, and Partnership Board of Directors are not eligible for nomination.

If you have any questions, please email The Partnership or call 410-871-7645.

Criteria

Nominations may be made on behalf of any organization that operates within Carroll County and employs two or more people.

The Worksite Wellness Award recipient is announced at the annual community forum, usually held in May. To be considered for an award announced at the upcoming forum, nominations must be received by March 15th. Nominations received after that date will be considered for an award at the following year’s event.

Online Nomination Form

Please fill out the following information about the nominee.
Name of business or organization being nominated*
Number of employees*
Program Name*
Program Start Date*
MM slash DD slash YYYY
Health Areas - please indicate the area(s) that the worksite wellness program addresses:*
- Health Education (examples: exercise program, smoking cessation, stress management)
- Supportive Environment (examples: formal alcohol/drug policy, walking breaks, lunch options)
- Integration of Wellness Program (examples: health benefits, sick leave, health brochures)
- Linkage (examples: employee assistance programs, nurse advice line)
- Screening Program (examples: flu shots, blood pressure screening)
Goal(s) of program (75 words or less)*
Description of program (300 words or less)*
Please describe any new, innovative, or creative idea that is part of this worksite wellness initiative (150 words or less)*
Results: how does your company/organization know that this worksite wellness initiative or program has been successful? (75 words or less)*
Please fill out the following information about yourself.
Nominator's Name*
First Last
Nominators's Address*
Street Address Address Line 2 City State ZIP Code
Nominators's Phone*
Nominators's Email*
Supporting Materials: please attach any additional items that showcase the nominated program
Drop files here or

Max. file size: 256 MB.
Person to receive acknowledgement for supporting materials
- Same as nominator
- Other
Name*
Name of person to receive acknowledgement
First Last
Phone*
Email*

Printable Nomination Form

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