Fillable Wellness Ambassador Application (University of South Carolina)

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Wellness Ambassador Application (University of South Carolina)

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Wellness Ambassador Application
Name: __________________________________________
Department: _____________________________________
Title: ____________________________________________
Office Location: ___________________________________
# of Employees in Office/Department: ________________
Phone: _______________ Email: _____________________
Faculty Staff
Why do you want to become a Wellness Ambassador for your
department?
How is wellness currently a part of your life?
I understand that I will be expected to:
Participate in at least one Gamecocks LiveWell program or service per semester
Serve as a liaison between Gamecocks LiveWell and my department
Share Gamecocks LiveWell program information in my department monthly
Have my supervisor’s approval to serve as a Wellness Ambassador
Supervisor Name and Title: ___________________________________________
Supervisor Phone: __________________ Supervisor Email: _________________
Please submit your completed application to Amanda Castles, Associate
Director – Faculty/Staff Wellness, via email at castlesa@mailbox.sc.edu or
campus mail (Student Health Services).
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Wellness Ambassador Application (University of South Carolina)

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Completed 30 August 2020

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