LOCATION INFORMATION

Type of Housing Property

Pleas select which best describes your Housing Property

How many employees are employed at the facility?

CONTACT INFORMATION

SMOKE-FREE POLICY

Have you received the "Smoke-Free Multi-Unit Housing Toolkit for Landlords"?

Yes

Please provide your current smoke-free policy IF you have one.

Upload policy

ADDITIONAL INFORMATION

What is the current status of your housing policy? Is this policy currently enforced and are consequences being issued?

Does your housing property have any plans to address your smoking/tobacco policy such as addressing vaping/e-cigarettes, improving enforcement, changing penalties, providing additional signage, etc? Is this an issue residents, staff, or visitor have brought up?

How can Tobacco-Free for a Healthy New Jersey assist your property to create a healthier environment for your employees, residents, visitors, etc.?

Once you pass your smoke-free housing policy, would you be interested in your being property promoted on our Smoke-Free Housing Directory?

Yes

By submitting this application, you are pledging to work to strengthen your housing smoking policy.

Tobacco Free for a Healthy NJ's

HOUSING PARTNER APPLICATION

Please fill out the form below. We look forward to reviewing your application.

LOCATION INFORMATION

CONTACT INFORMATION

SMOKE-FREE POLICY

ADDITIONAL INFORMATION

Contact Information
E |TobaccoFreeNJ@njpn.org

P | 732-367-0611