The Joint Commission

Application for Accreditation

Congratulations! You’ve chosen the path toward safe, reliable, high-quality care for your assisted living community. Let’s begin the application process.

First Name:

Last Name:

Job Title:

Organization:

Email Address:

Phone Number:

State:

Is your community part of a multi-facility corporation?

How many communities are part of your multi-facility corporation?

What role do you play in the decision for accreditation?

When would you seek your first survey?

Comments/Questions

Program Inquiry:

Program Marketo:

Marketo Program (L):

Person Status:

Person Source:

Lead Source Other:

Most Recent UTM Source:

Most Recent UTM Medium:

Most Recent UTM Campaign:

Most Recent UTM Content:

Most Recent UTM Term: