Summer 30-Minute “Healthy Lifestyle Break” Form – Oklahoma Panhandle State University

Home Summer 30-Minute “Healthy Lifestyle Break” Form

Summer 30 Minute “Healthy Lifestyle Break”

Panhandle State employees may take a 1-hour long lunch break June 3rd- August 2nd, given they spend 30 minutes of that time performing physical activity. In order to receive 30 additional minutes, all employees must complete the log below each day.

Name(Required)

First Last

Department(Required)

Date(Required)

Location(Required)

Walking Trail

Noble Center

Other

Signature(Required)

By completing this form, I do hereby certify that I completed 30 minutes of physical activity entitling me to an additional 30 minutes for a proper lunch break during the months of June and July. Please enter your name above.