Join Smoke-Free Housing

Print
Press Enter to show all options, press Tab go to next option
All fields marked with an asterisk (*) are required.
Please correct the field(s) marked in red below:

Apartment community name
 *
Address
 *
Number of buildings
 *
Number of units
 *
Contact person
 *
Title
Phone number
 *
Email
 *
How can our staff further develop your smoke-free policy?
Select the appropriate award level for your apartment community.
Select the appropriate award level for your apartment community.
How did you hear about Smoke-Free Housing Awards Program?
Attach a copy of your smoke-free policy or lease addendum to this application.
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.