Request Tobacco Education Complete this form to request in-person tobacco prevention education in your community or printed materials from the Ditch the Cloud campaign both available at no cost to organizations in Suburban Cook County. 60-minute presentations are conducted by our partners or CCDPH subject matter experts and highlight the harms of smoking and vaping and connect people with the support needed to help quit. Printed materials include posters and palm cards from the Ditch the Cloud campaign and are aimed at preventing youth from vaping. Resources are free and open to Suburban Cook County schools, non-profits, libraries, healthcare and community-based organizations and more. After completing the form a member of our team will contact you to discuss your request and next steps.Contact Name(Required)Contact Email(Required) Contact PhoneOrganization Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Organization(Required)Type of Organization(Required)-- Select --SchoolBehavioral health organizationsCommunity-based organizationHealthcare organizationMunicipalityOtherOther - please specify(Required)Request "Ditch the Cloud" Campaign Materials(Required) Palm cards Posters None Total palm cards requested(Required) 25 50 75 100 150 If you require quantities different from the options provided, please discuss your request with a member of our team during follow-up.Total posters requested(Required) 2 4 6 8 10 If you require quantities different from the options provided, please discuss your request with a member of our team during follow-up.Request Tobacco Prevention Presentation(Required)A 1-hour, in-person presentation by a CCDPH representative about the harms of smoking and vaping and resources to quit. Yes No (Optional) Please indicate any preferred dates for a presentation. Δ Tobacco-free LivingTobacco-Free Living Anti-Vaping Campaign Request Tobacco Education Tobacco-free Resources Tobacco Policies Updated June 25, 2026, 4:29 PM
