Lighthouse Initiative Association
Resource / Provider Submission Form
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Thank you! Your resource has been submitted.
Basic Information
Resource / Provider Name
🏢
Type (shelter, food, legal, etc.)
📂
Population (e.g., women, youth, families)
👥
City
🏙️
Address
📍
Zip Code
📮
Neighborhood
🏘️
Status (open, limited, closed, etc.)
✅
Capacity & Access
Total Capacity
📊
Available Capacity
📈
Waitlist?
Select...
Yes
No
Wait Time Estimate
⏱️
Contact
Contact Phone
📞
Contact Email
📧
Services & Requirements
Services Offered
Populations Served
Eligibility
Requirements (documents, referrals, etc.)
Hours
Peer Support Specialist (PSS)
PSS Available?
Select...
Yes
No
PSS Certified?
Select...
Yes
No
PSS Skills
PSS Hours
Tags & Images
Tags (comma-separated)
Image URLs (comma-separated)
Submit Resource