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Living Well Application Form Living Well Program at Slippery Rock University Complete this form and the pledge at the bottom of the page. NAME A00 ADDRESS (Permanent) Phone Email Degree Major How
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To fill out the living well application form, follow these steps:
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Start by entering your personal information, including your full name, date of birth, and contact details.
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Provide your current address and indicate if it is a permanent or temporary residence.
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Fill in the section on your health conditions and any medications you are currently taking.
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Answer the questions related to your lifestyle and habits, such as smoking and alcohol consumption.
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Provide information about your income, employment status, and any financial assistance you receive.
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Indicate your preferences and expectations for the living well program.
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Review the form for completeness and accuracy before submitting it.
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Sign and date the application form.
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Attach any required supporting documents, such as medical records or income statements.
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Submit the completed application form through the designated channel, such as online submission or mailing it to the given address.

Who needs living well application form?

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The living well application form is needed by individuals who are interested in participating in the living well program.
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This program may be suitable for individuals who want to improve their overall well-being, manage a chronic health condition, or receive support and guidance for making healthier lifestyle choices.
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Living well application form is a document used to apply for the Living Well program.
Individuals who wish to participate in the Living Well program are required to file the application form.
To fill out the form, you need to provide personal information, health-related details, and any other required information as specified in the form.
The purpose of the form is to gather necessary information from individuals who want to join the Living Well program.
The form may require information such as name, address, contact details, medical history, and other relevant details needed for program enrollment.
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