Technical Assistance Form + Take Your Worksite to the Next Level

Interested in taking your worksite to the next level? Want your organization to be recognized as a healthy employer? We’re here to help with FREE technical assistance.

Mayor’s Health & Fitness Council Partner Certification Program Technical Assistance Form

"*" indicates required fields

Name*

Organization

Email*

What changes are you interested in learning more about for your worksite?

(Select all that apply)

Tobacco-Free Living

Tobacco-Free Living (Tobacco-free signage, tobacco free policies at worksites or housing communities, etc.) .

Healthy Nutrition

Healthy Nutrition (Improvements to vending machines to add healthier items and reduce sugar sweetened beverages, worksite wellness policies around nutrition, improvements to school or community gardens, projects to improve access to drinking water, improvements in school cafeterias to promote healthy nutrition, training and implementation on the CATCH program at schools or childcare centers, improvements to restaurant recipes to add healthier items, improvements to nutrition in after school programs, etc.)

Breastfeeding Support

Breastfeeding Support (Mother-friendly policies at worksites; amenities at worksites for breastfeeding mothers, such as improvements to or creation of breastfeeding rooms/spaces for employees, etc.)

Physical Activity

Physical Activity (Improvements to bike paths, trails, and parks, improvements to playground equipment at parks, schools and childcare centers, installation of trail markers, stairwell improvements and promotional signage for taking stairs, projects that increase physical activity in after school programs, etc.) Healthy Nutrition

Phone

This field is for validation purposes and should be left unchanged.

Technical Assistance Form

Interested in taking your worksite to the next level? Want your organization to be recognized as a healthy employer? We’re here to help with FREE technical assistance.

What changes are you interested in learning more about for your worksite?

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