2021 UCI Wellness Ambassador Registration

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UCI Wellness Ambassadors play a vital role in supporting the promotion of health and wellness among co-workers within their departments and serve as key communicators helping drive participation and engagement in UCI Wellness programs, resources, and events. There are many benefits to becoming a Wellness Ambassador, including skill building, networking, and support to achieving personal health and wellness goals.

For more information, please visit http://www.wellness.uci.edu/ambassador.html

Questions?
Dyan Hall, dyhall@uci.edu

Email *

First Name *

Last Name *

Are you a New or Returning UCI Wellness Ambassador *

New Ambassador. This will be my first year as a UCI Wellness Ambassador

Returning Ambassador. I was a Wellness Ambassador last year

Past Ambassador. I was not a Wellness Ambassador last year, but have been in previous years

Other:

UCI Affiliation *

Staff

Resident Physician

Faculty/Academic Appointee

Other:

Department/School *

What best describes your primary UCI physical work location? (prior to virtual transition if applicable) *

Main Campus/Research Park (Irvine)

Medical Center (Orange)

Other UCI Location (ex: Santa Ana, Tustin, etc.)

Work Address (prior to virtual transition if applicable)

Route Code or Zot Code

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