Become a SSAFE Chapter: The Application

Introduction → Good Fit → Chapter Expectations → Application Process → Apply

Chapter Application Form

🖨️ We encourage you to download a printable version of the application here before filling in the online application below.

The answers to the following questions will help SSAFE better understand your community and ascertain your interests and give you a better understanding of SSAFE. Please note that your answers will not disqualify your community from participating in SSAFE. The person completing this form is considered the point of contact throughout the application process.

Point of Contact

First

Last

Phone

Address

City | State | Zipcode

What is the name of your community?

Where is your community located?

Community Status

I verify that my community is a non profit organization.
Other - we have a hybrid model and I have discussed this with SSAFE before applying.

If your community is part of a larger organization or corporation, what is that organization’s name?

Total Number of Residents

Number of Residents in Independent Living

Community Website

Optional

Sustainability Interest

How interested are residents in sustainability? Is there a related committee or resident-run entity that initiates sustainability activities on campus? What kinds of activities have been undertaken? Have there been recent sustainability investments?

Connecting with SSAFE

How do you envision your SSAFE chapter collaborating with existing sustainability-related committees in your community?

Residents Association Interest

To what extent has your community's resident association shown interest in or engaged with sustainability issues?

Administration Commitment

How committed is the administration to promoting sustainability initiatives? What investments in sustainability have been made recently? Is there an official sustainability commitment or policy? If the commitment or policy is available online, please provide a URL.

Resident & Staff Relationship

How strong are working relations between staff (CEO; facility/operations director; etc.) and residents in the area of sustainability? Are there joint resident/staff committees dealing with sustainability issues? Are there residents on the facility’s committees?

Community Details

What types of residential housing do you have on your campus?

Apartments
Clusters
Stand Alone Homes
Other

Age of Housing?

Describe the community grounds (amount of green space, gardens, woodlands, native plants)?

Do residents pay for their own utilities? (electricity; gas; water/sewer; telecommunication (telephone; Internet) Or, is the cost of these services built into your monthly fees?

Is there anything else you wish us to know?

Chapter Application Form

Quick Links

About SSAFE