Page 23 - GBS-Wellbeing Champion Toolkit

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Associates who are interested in becoming a Wellbeing Champion must rst ask their supervisor/manager to sign the “Wellbeing Committee Approval Form.” Signed form must be sent to Wellbeing Program Manager via fax, email, or interof ce mail.
Wellbeing Program Contact: Name:
Phone:
Email:
Name of employee:_____________________________________ Name of employee’s manager:____________________________ Location:_____________________________________________
Upon signing this form, the employee’s manager con rms that the employee is in good standing. The manager understands the time commitment for wellbeing committee members and approves the employee’s participation for the next 12 months.
Manager Signature:_____________________________________ Employee Signature:____________________________________ Date:________________________________________________
LEADERSHIP
Manager Approval Form
WELLBEING CHAMPION TOOLKIT | 2017 ISSUE
23
Inspire Change