Please complete and send this form to Human Recourses when aSubmit Proof to ECC HR’ is requested.
I _________________________________ have completed ___________________________________
on _________________.
Please provide a description of the event or activity completed and/or provide feedback on the event.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________
Signature/Date
2019 Wellness Program Activity Completion Form
(Employee Name)
(Wellness Activity)
(Date Completed)
HR use only
_____ Points added to CHC
Notes:
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