New Place Application

Please use this form to tell us about missing organizations, businesses, and coalitions. Information may be checked or changed before being added to the list. Please contact us if you would like to update information for an organization that is on the list.

Place Name *

Street Address

City

State *

Postal Code

Phone

Website

Please check all that apply.

Please share more about those you serve. For example (Paiute-Shoshone Tribe, Mutual Aid in an Urban Neighborhood, etc.)

Community Served

Please mark all where you serve

Mission Statement

Public Description *