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2018 Gold Star Standards of Excellence Application

The Gold Star Standards of Excellence program recognized Maine’s institutions of Higher Education annually for creating and maintaining tobacco-free environments and supporting tobacco-free living.  Institutions of higher education are committed to providing a healthy and safe environment for their students, faculty, staff and visitors.  The adoption and implementation of these standards is an example of this commitment.


All schools are encouraged to apply. Those meeting a minimum of 6 of the 10 standards will be recognized with an award during a celebration event on Thursday March 29, 2018 from 11:00-1:00 at Bangor Savings Bank, 5 Senator Way, Augusta.

6-7 Stars: Bronze Award Status
8-9 Stars: Silver Award Status
10 Stars: Gold Award Status


To apply, complete the application below answering all questions applicable, write “not applicable” for the standard your school does not meet.
Applications are due by Wednesday February 28, 2018.

Please note this form cannot be saved.  Best practice is to complete the word document version then copy and paste your answers into the online form.  You can also email the word version to us at BreatheEasy@mainehealth.org.

Need help?  View the 2018 Guidance Document or webinar for model answers for the application or contact us for additional assistance.



1. Tobacco-Free Policy
Standard: The college/university has a 100% smoke and tobacco-free campus policy that prohibits all smoking and use of all tobacco products including cigarettes, smokeless tobacco, snuff, chew, snus, cigars, hookah, and pipes electronic smoking devices/electronic nicotine delivery systems (ENDS) such as, e-cigarettes, e-hookah, vape pen, etc.. This does not include products specifically approved by the US Food and Drug Administration (FDA) for the purpose of cessation or nicotine replacement therapy.
Tobacco use by students, faculty, staff, visitors and contractors is prohibited at all times on the college/university campus, including in parking lots, all vehicles parked on campus, at all satellite sites and other properties the school owns and/or rents. The policy extends to all off-site meetings, trainings and conferences and in all college/university owned or leased vehicles.

Requirement: Upload the written policy for the college/university (PDF or Word Doc):

2. Policy Communication
Standard: Written policies, procedures or plans exist that detail communication about the campus policy, whether or not the policy is 100% smoke and tobacco-free, to all campus community members and visitors.

Requirement: At least three (3) strategies must be met in order to achieve this standard. Please check boxes next to completed strategies below or list under 'other'. Explain how these strategies have been implemented, such as providing a copy of any policies/procedures that meet this standard.

Signage is posted in key campus locations, such as entrances, buildings, parking lots, electronic display boards.New student orientation includes education about the campus policy.New employee orientation includes education about the campus policy.All employees are required to acknowledge in writing, on an annual basis, that they have read/understand the campus policy.Information about the campus policy is readily available on the school's website and/or through Student Affairs and Human Resources (provide link in the 'other' box below).Verbal and or written information is provided by: admissions during campus tours and visits, athletics for all sporting events, or other departments for events such as concerts, or theater productions, etc.).Other (required)

Upload the written policy for the college/university (PDF or Word Doc):

3. Policy Enforcement
Standard: Written policies, procedures or plans exist that detail compliance expectations, enforcement and awareness integration.
Requirement: At least four (4) strategies must exist in order to achieve this standard. Please check boxes next to completed strategies below or list under 'other'. Explain how these strategies have been implemented, such as providing a copy of any policies/procedures that meet this standard.

Policy compliance expectations are explained at student orientation.Policy compliance expectations are explained at new employee orientation.Employee supervisors receive training on how to discuss tobacco use and the current campus policy with their staff.Student leaders, such as Resident Hall Assistants, Orientation Leaders, Honors Students, etc., receive training on how to discuss tobacco use and the current campus policy with fellow students.The tobacco-free policy defines who is responsible for enforcing the policy and how to handle student, staff and faculty infractions.Other (required)

4. Tobacco Education and Integration
Standard: Education about the dangers of tobacco use, exposure to tobacco smoke and information related to tobacco treatment resources are available and integrated into existing trainings, events and programs.
Requirement: At least four (4) strategies must exist in order to achieve this standard. Please check boxes next to completed strategies below or list under 'other'. Explain how these strategies have been implemented.

Ongoing campus group, such as a Wellness Team or Tobacco Committee, is working to increase awareness of dangers of tobacco use and tobacco smoke exposure.Training is offered to help student and campus community members discuss tobacco treatment with peers (such as the Maine Helpers Training).Training support is offered to support campus providers in discussing and treating tobacco use (such as the Center for Tobacco Independence Basic Skills and/or Intensive Tobacco Treatment Training).Tobacco prevention and treatment resources, such as brochures, are made available.Tobacco treatment and prevention information is shared through existing campus publications.Other (required)

5. Tobacco Treatment Benefits
Standard: Tobacco treatment services are a covered benefit for individuals and their dependents insured through the student health insurance plan and employee health insurance plan. Benefits include coverage for counseling and medication for quitting tobacco, with minimal, or no barriers to utilization (i.e. co-pays, out of pocket costs, yearly limits).
Requirement: Describe the tobacco treatment benefits provided and how employees and students are made aware of coverage.

6. Tobacco Advertising
Standard: The college/university has a policy prohibiting the advertisement of tobacco products, including electronic smoking devices, on the campus, including in advertising in college/university media, such as newspapers, radio, and magazines.

Requirement: Include written policy and/or procedures explaining how the advertisement of tobacco products is regulated on campus.

7. Tobacco Product Promotion and Distribution
Standard: The college/university has a policy prohibiting the sale, promotion and/or free distribution of all tobacco products, including electronic smoking devices, and paraphernalia, at all times, on campus and at all campus sponsored events, including by any student group or organization.

Requirement: Include written policy and/or procedures explaining how the institution has restricted the promotion and distribution of tobacco products on campus.

8. Tobacco Funding to Campus-Supported Groups/Organizations
Standard:The college/university has a policy prohibiting campus supported organizations and events from accepting donations, such as money or goods (i.e. all tobacco products, including electronic smoking devices and paraphernalia), from tobacco companies and retailers.

Requirement: Provide written policy and/or procedures explaining how the institution ensures that tobacco company sponsorship or donations are not accepted by these groups.

9. Donations to College/University
Standard: The college/university has a written policy that it refuses all donations from the tobacco industry and divests itself of all tobacco industry stock.

Requirement: Provide policy language, procedures and/or guidelines that explain the college/university position on tobacco industry donations.

10. Smoke-Free Community Lodging
Standard: The college/university includes information on 100% smoke-free options when providing campus visitors (i.e. prospective students, visiting athletics teams, etc.) local lodging information.

Requirement: Provide lodging list or web link supplied by college/university to visitors that highlights lodging establishments that are smoke-free or explain how this standard is not applicable.