Wellness Idea Submission

Use this form to submit your wellness ideas to the FP&M Wellness Committee.

Name*
First Last
Email*
Department*
Work Location*
Work Start Time

: HH

MM
Work End Time

: HH

MM
Your Wellness Idea*
Supporting Files
Do you want to be involved in creating/organizing this idea?*
- Yes
- No
Would you like to be involved in FP&M wellness initiatives in your work area or FP&M-wide?*
- Yes
- No