Awards Application - Workplace

All fields marked with * are required.

Submissions should be for workplaces, including for profit, nonprofit, government, or colleges/universities. There are two award categories, one to recognize small businesses (49 or less employees) and another to recognize large businesses (50 or more employees).

Applications should demonstrate how the workplace has made policy, systems and environment changes that align with the Healthiest State’s mission of improving the physical, social and emotional well-being of Iowans. 

*Please note before beginning application process, you must take the Healthiest State Workplace Assessment found at and save copy of the report. Estimated time for completion is 30 minutes. 

Workplace Information

Step 1: Complete the Healthiest State Initiative Healthy Hometown powered by Wellmark Workplace Assessment at Estimated time for completion is 30 minutes. 

Step 2: Using your completed Workplace Assessment, expand on your answers using this form. Please upload when completed.

Step 3: Respond to the following overview questions (500 words or less).