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|  Healthy Charleston Challenge Mentor Application Fall 2009 Mentor Mission Statement: Mentors for MUSC Healthy Charleston Challenge are committed to healthy lifestyle habits and optimal weight management. Mentors are determined to use their knowledge, passion, and will to relentlessly pursue personal wellness goals. In this pursuit of achieving healthy lifestyle habits, mentors are obligated to be role models for others, and assist Healthy Charleston Challenge participants in their journey to improve health, fitness, and nutrition habits. Name: ____________________________ Email: _____________________________ When were you involved with the HCC program? ______________________________ What did you learn from your experience? ___________________________________ Why do you want to be a mentor for the upcoming Healthy Charleston Challenge? ___ I want to have a poster made and present my testimonial to the HCC group. ___ I want to be assigned to a team and will weigh-in and attend at least 8 out of 10 Thursday night meetings. I will assist the team with communication, accountability and workout sessions. Please list on back any request to be placed with a specific team. ___ I want to be involved with HCC, but I will only be available to attend group exercise classes and/or do cardio equipment with any participant when needed. I will provide my contact information and my preferred workout equipment and/or group exercise classes. I will help with the camaraderie and comfort of any and all participants in their acclimation to exercise and the Wellness Center. NOTE: All mentors participating in the weigh-ins are making a commitment to do so. Do NOT put your name on the Mentor Weigh-in list if you are not able or willing to weigh-in 8 out of 10 weeks. ___ I want to be on the Mentor Weigh-in list and will weigh-in 8 of the 10 weeks. Please complete this application and return to Janis Newton before Monday, August 10th. 
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