Work Healthy Application

Award Categories and Levels

Work Tobacco-Free

The Merit Award

  1. Written Policy meets the Workplace Smoking Act of 1985 - Use of cigarettes, pipes, cigars is prohibited except in designated areas that are separately vented and also prohibited in employer vehicles; and
  2. Promote tobacco-free lifestyles by providing employees with self-help materials or referral information on quitting tobacco use; and
  3. Signs are posted that state the tobacco policy

The Quality Award

  1. Meets Merit Award; and
  2. Written policy provides for a tobacco-free building and no tobacco use within 25 feet of all entrances, air intake and walkways. Tobacco use includes any tobacco product - including cigarettes, pipes, cigars, chew, snuff, and spit; and
  3. Written policy provides some level of coverage on a one time basis for cessation services through Health Insurance coverage or employer reimbursement - i.e.: medications, cessation classes, etc.

The Excellence Award

  1. Meets Quality Award; and
  2. Written policy provides for a tobacco-free property; and
  3. Written policy includes provisions for enforcement and communicating the policy to all employees on an annual basis; and
  4. Written policy provides on-going full coverage for cessation services through Health Insurance coverage or employer reimbursement - i.e.: medications, cessation classes, etc.- either on or off-site.

Encourage Physical Activity

The Merit Award

  1. Promote exercise and recreational activities to employees..

The Quality Award

  1. Meets Merit Award; and
  2. Written policy in place that supports exercise and recreational activities; and
  3. Provide incentives for engaging in exercise and recreational activities, and/or provide discounts/offer reimbursements for participation in fitness programs.

The Excellence Award

  1. Meets Quality Award; and
  2. Provide on-site programming that support exercise and recreational activities.

Promote Healthy Eating

The Merit Award

  1. Offer healthy alternatives in vending machines/cafeteria/company meetings and promote nutrition and weight management programs.

The Quality Award

  1. Meets Merit Award; and
  2. Written policy in place that supports healthy food options and promotes nutrition and weight management programs; and
  3. Provide incentive for participating in nutrition or weight management

The Excellence Award

  1. Meets Quality Award; and
  2. Provides on-site programming to support healthy eating and /or weight management.
Award Categories
  1. Award CategoriesSelect the award level you are applying for (see qualifications above).
  2. Work Tobacco-Free
  3. Encourage Physical Activity
  4. Promote Healthy Eating
Bonus Categories
  1. Bonus Categories Check all that apply
Contact Info
  1. Contact Information
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  7. (valid email required)
Request Type
  1. Request Check all that apply
 

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Please mail or fax your written policies to:

    Healthy Androscoggin
    300 Main Street
    Lewiston, ME 04240
    Fax: (207) 795-5992