Award Application

Canada's Healthy Workplace Month Great Employer

Application Form

To be considered for Canada’s Healthy Workplace Month Great Employer, you must complete the form below and submit it to us by October 31st, 2023. After you submit your application, you will receive a confirmation email along with a copy of your submission. If you have any questions, please feel free to contact us at 1-800-263-9648 ext. 236 or send an email to [email protected]

TIPS FOR COMPLETING YOUR APPLICATION

It is very important to read the Terms & Conditions before you begin.
Keep your answers concise and to the point. If possible, provide examples.
Click the “Save Application” button at the bottom of this form to save your progress. To resume your application, use the assigned link to continue.
When finished, click on the “Submit” button at the bottom of this form. (Note: All required fields need to be completed in order to submit.)

Please note that your information is saved on our server as you enter it.

YOUR CONTACT INFORMATION
Name*
First Last
Phone*
Email*
How did you hear about Canada's Healthy Workplace Month Great Employer award?
- Please send me updates regarding Canada's Healthy Workplace Month Great Employer award.
ABOUT YOUR ORGANIZATION
Organization Name*
Address*
Street Address Address Line 2 City Province Postal Code
President/CEO First and Last Name*
First Last
President/CEO Email
Website
Number of full-time employees
Number of part-time employees
Please provide URLs for any social media sites managed by your organization such as Facebook, LinkedIn, Twitter, etc.
Untitled*
Question: Explain why you think your organization deserves to win Canada’s Healthy Workplace Month Great Employer award. Please include examples to illustrate your response. (Maximum 400 words)
Physical Health
This element of a healthy workplace refers to how well an organization supports employees to develop and maintain healthy behaviours (exercise, nutrition, sleep, etc.) reduce unhealthy/risky habits and make optimal use of health care opportunities. It also refers to workplace due diligence regarding Occupational Health and Safety (OHS) and the management of workplace influences that may contribute to injuries, disabilities and/or fatalities. Facility design, including air quality, noise, lighting and other physical workplace factors are also important aspects that impact employee physical health and well-being.
Untitled*
Question: Describe how your organization’s wellness plan (e.g., assessment(s), goals, evaluation) encourages physical health, including examples of healthy lifestyles programs, OHS practices and contributing factors to physical health. (Maximum 400 words)

NOTE: You must upload with your application the results of an employee satisfaction or engagement survey conducted within the last 24 months. If you require assistance conducting one, an Excellence Canada coach will be pleased to provide more information on doing so. Click here to contact us.
Upload employee satisfaction/engagement survey
Drop files here or

Max. file size: 100 MB.
Supporting Documentation (if applicable)
Drop files here or

Max. file size: 100 MB.
Mental Health
This element of a healthy workplace refers to how the organization encourages a supportive workplace culture - the foundation of a healthy workplace. This element speaks to how the culture encourages respect, trust, support, and inclusivity. It refers to communication styles and patterns of relationships and values that influence employee health, safety, and well-being.
Untitled*
Question: Describe how employees are involved and able to provide feedback and/or input on work-related matters such as supervision, productivity goals, work schedules, equipment, training, and the health, safety and wellness needs of their work environment. (Maximum 400 words)
Supporting Documentation (if applicable)
Drop files here or

Max. file size: 100 MB.
Social Health
Social well-being in the workplace reflects employee relationships with coworkers, interactions with management, and a sense of belonging within the business as a whole. It is a measure of an employee's interpersonal relationships both in and outside of work and includes aspects such as connectedness, collaboration, recognition and rewards, engagement, influence, growth and development and intellectual health.
Untitled*
Question: Describe how your organization supports social well-being such as a sense of belonging, social networks that encourage collaboration and communication, communities of practice, and other supportive resources and/or networks. (Maximum 400 words)
Supporting Documentation (if applicable)
Drop files here or

Max. file size: 100 MB.
Community
Being a socially responsible company empowers employees to leverage corporate resources at their disposal to do good. Formal social responsibility programs boost employee morale and productivity in the workforce. This element of a healthy workplace refers to the interrelationship between the workplace, the community and employee health, safety and well-being, including the way organizations are involved in the community, support environmental stewardship, economic responsibility and social justice; and, how employees are encouraged to participate, volunteer, and ‘give back’ to the community.
Untitled*
Question: Describe how your organization demonstrates its commitment to fostering social responsibility including encouraging volunteerism, environmental stewardship, social justice, community involvement and giving back opportunities. (Maximum 400 words)
Supporting Documentation (if applicable)
Drop files here or

Max. file size: 100 MB.
Upload a Team Photo (if applicable)
Please upload 1-2 photos that showcase the greatness of your team or your team in action.
Photo
Accepted file types: jpg, jpeg, png, gif.FileCaption
Representative Information and Certification
*
- I, the undersigned, certify that the information provided is complete and accurate. As an authorized representative of the organization, I have read and agree to the Terms & Conditions.
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Canada's Healthy Workplace Month Great Employer

YOUR CONTACT INFORMATION

ABOUT YOUR ORGANIZATION

Physical Health

Mental Health

Social Health

Community

Upload a Team Photo (if applicable)

Representative Information and Certification

CHWM

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Corporate Social Responsibility

Mental Health and Workplace Culture

Healthy Lifestyles

Physical Environment

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