Add or Edit a Resource

Add/Edit a Resource

Do you know of a resource that is not currently included in our database? Have a correction to a current resource in our database? Complete this form and help us improve our database.

Step 1 of 5

Name of Resource*
This is a:*
- New resource not in your directory
- Correction to a resource currently in your directory

Resources may only have ONE primary category but may have multiple subcategories. There must be at least one subcategory that matches the primary category; however, there may be additional subcategories applicable to a resource as well. Please indicate the appropriate primary category and subcategor(ies) to the best of your ability. Hold down the [ctrl] key while clicking the mouse to select (or de-select) multiple areas in each subcategory.
Recommended Primary Category of Resource*
You may only select ONE primary category.
Recommended Primary Category of Resource*
You may only select ONE primary category.
Additional Primary Subcategories (less common)
Can your resource be classified as any of the following?
Medical & Behavioral Health Subcategories
Please select all that may be applicable. Use [ctrl+click] to select or de-select multiple options.
Legal and Advocacy Subcategories
Please select all that may be applicable. Use [ctrl+click] to select or de-select multiple options.
Resource Centers & Professional Associations Subcategories
Please select all that may be applicable. Use [ctrl+click] to select or de-select multiple options.
Funding Resources Subcategories
Please select all that may be applicable. Use [ctrl+click] to select or de-select multiple options.
Adult Transition Subcategories
Please select all that may be applicable. Use [ctrl+click] to select or de-select multiple options.
Recreation & Leisure Subcategories
Please select all that may be applicable. Use [ctrl+click] to select or de-select multiple options.
Education Subcategories
Please select all that may be applicable. Use [ctrl+click] to select or de-select multiple options.

Provide the public address and contact information for the resource's location. If this is an online resource (e.g, website only), address information is not required. If you have multiple locations, please provide address and phone information for these additional locations in the notes section.
Public address for this resource (no PO Boxes)
If multiple addresses, please note additional locations in the NOTES section below. If this is an online resource that does not have an address, skip this section.

Street Address Address Line 2 City State ZIP Code
Primary Phone
If there are additional phone numbers or locations, note in the NOTES section below.
Primary Contact Person
If you would like a primary contact person listed publicly on the website, please list this person's name AND title here.
Public Email Address
If you have a general email address or an email address for your primary contact person, please list here. This will be PUBLIC on the website.
Enter Email Confirm Email
Notes and Comments
Use this space for additional location or contact information or any other resource information you wish to provide.