EmailMe Form - USWT Wellness & Personal Development Certification

USWT Wellness & Personal Development Certification

USWT Wellness & Personal Development is designed to to assist individuals to be aware of their physical, and mental well-being, along with personal growth, careers and citizenship. This form may be completed once each USWT year. To certify, you must complete a minimum of 15 out of the following 30 items, and submit it no later than May 1.

Responses to the online form will be viewed by the USWT Wellness and Personal Development Program Manager, and your state contact. Fill in as much information as you know. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2020)

Your Email *
State *
Other State
If you are a member of a state organization not listed, please enter your state.
Chapter *
Submitter Name *
First Last
Phone
### - ### - ####
Address

Street Address City State / Province / Region Postal / Zip Code
Date Joined *
MM / DD / YYYY
Enter the date you joined Women of Today
Date Certified *
MM / DD / YYYY
Enter the date completed at least 15 of the 30 items below
Certification Items Completed *
Have a physical exam
Know your numbers (cholesterol, blood pressure, glucose, and body mass index)
Have a dental exam
Be a registered organ donor
Have an eye exam
Donate blood/plasma
Certify in CPR or First Aid
Check your medication cabinet for outdated items and dispose of them properly
Exercise a minimum of 3 times per week for one month
Attend a seminar, health fair, or read an article on a health topic
Keep a journal for 30 days logging your diet, time management, mood or exercise
Visit a nursing home or hospital
Complete a Speaking competition or Impromptu competition
Present a 4-6 minutes speech
Enter a writing competition
Write an article for a chapter, district, state or national newsletter
Write an essay or short story with 300 or more words, but less than 500 words
Chair a project
Participate in a leadership exercise
Participate in a team-building exercise
Participate in a chapter project
Attend a state or United States Women of Today meeting
Learn a new craft
Learn a new receipe
Read a book or listen to an audio book
Update your will or review your financials
Volunteer in another organziation
Interview a member of a different generation about changes they have seen in their livespan
Interview someone from a different culture or nation
Hold a local, state or national office
Other
Please check the box of all the items you have completed
Other Item Explanation *
You have chosen "other" above, please supply a description of this other item