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Volunteer Champion Program Activity Tracker

To record your volunteer activity, bring the Volunteer Acknowledgement Form (PDF) to the volunteer organization and return it to your manager to show volunteer activity.

To track your individual volunteer activity, fill out the form below. Feel free to describe your volunteer experience by typing a brief description in the notes and uploading any photos you would like to share.

Photos and Videos: Please share your volunteer photos and videos with us. Send them to ARChampionTeam@Centene.com.

Consent and Release: By submitting your hours and photos, you grant Centene Corporation the right to use your name and appearance, and any other image or likeness of you, in all manners and media known for all types of advertising, publicity, promotion and other trade purposes in perpetuity. 

Disclaimer: This form will send your message to Arkansas Health and Wellness as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Arkansas Health and Wellness through email, you accept associated risks. Arkansas Health and Wellness does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal.