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2013 Application

BUSINESS HEALTH AWARD

RECOGNIZING EXTRAORDINARY COMMITMENT TO HEALTH AND WELLNESS IN THE WORKPLACE

Business Health Awards will be presented to area businesses that provide innovative health and wellness programs for their employees. The FMH Development Council Business & Industry Committee and the Frederick Chamber of Commerce are teaming up to recognize businesses for their vision and commitment to a healthy work force.

To qualify for the Awards, businesses should have programs for employees in the following areas: health education; fitness; health assessments and wellness benefits.

Recipients from last year’s program are not eligible for this year’s award. Recipients will be announced at the Business Health Awards & FMH Corporate Honor Roll Reception on November 7, 2012 at Dutch’s Daughter from 5 - 7 p.m. To attend the reception, please RSVP by October 30th by filling out the online registration form.

Submit this 2012 Business Health Award application by October 19th:



* Indicates required information
Business Name * 
Address * 
City * 
State * 
Contact Name * 
Email * 
Telephone * 
Number of employees in Frederick area * 
Total number of employees in entire organization * 
Type of Organization * 


If Other, please specify:

Which of the following costs are covered by your EMPLOYER? 



















If Other, please specify:

Which of the following costs are covered by your EMPLOYEE? 



















If Other, please specify:

In your opinion, what makes your business's health program outstanding? * 
Have specific health or work-related problems been solved or improved as a result of your business's program? * 
What innovative ideas, or specific programs implemented, have been successful? * 
The undersigned represents that the above information is a true and accurate description of current programs * 
 
 

                   

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