Research Working Group Application Form
Please fill out and submit the following form.
Yes! We are Associates of The Conference Board and we would like to participate in the Research Working Group on Wellness that Works.
No. We are not Associates of The Conference Board. I understand that in order to participate in this opportunity my company will need to become Associates. Please contact me about Conference Board membership.
Research Working Group on Wellness that Works. (Immediate payment is not required.)
$12,500
Note: Fields marked with an * are required.
Company:*
Address:*
Primary Member
Additional Member
Name:*
Name:
Title:*
Title:
Phone:*
(Example: 1-212-333-3333)
Phone:
Fax:
Email:*
Email:
Assistant Name:
Asst. Tel:
Asst. Email:
In order to better gauge your needs and develop the goals of the Research Working Group, please answer the following questions:
What challenges have your organization faced as it has developed its Wellness program?
How have these challenges impacted the organization?
What aspects of Employee Wellness Initiatives are of particular interest to your company?
How would you like to benefit from your membership in the RWG?
How did you learn about this Working Group?
Mailing Email promotion TCB Website Email Express Referral, if so by whom? Other
If you have any questions, please feel free to contact Alberta McNamee, Research Working Group Program Coordinator: alberta.mcnamee@conference-board.org