Wellness Ambassador Training Registration

Training Date:

First and Last Name:

Email:

Phone Number (use numbers only, no dashes or spaces):

Year in School:

Street Address:

City, State, Zip:

Do you plan to be a Wellness Ambassador after this training?:

Yes

Unsure

Are you able to commit to two presentations per semester?:

Yes

Unsure

Wellness area of interest:

Why do you want to participate in this training?:

Updated: 10/26/2026 07:00PM