Interactive Resource Map

Interactive Resource Map

New or Existing
Agency Name*
Are you a new or existing agency on our Interactive Resource Map?

NewExisting
What information would you like to update?

Agency Contact InformationAgency WebsiteAgency Physical AddressAgency Phone NumberCounties ServedServices Provided
Email*
example@example.com
Name of Agency Contact*

First NameLast Name
Web Address*
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Which of the following counties do you serve? (check all that apply)*

LycomingClintonTioga
Have you disconnected any current services?

YesNo
All Services Provided- please check all of the services you currently provide*

Child CareEarly LearningChild DevelopmentBefore and After School CareSchool or Education SettingEmergency AssistanceFood Support/Prepared MealClothing SupportHousing SupportDisability SupportDomestic Violence Recovery SupportSenior/AgingEmployment Assistance/Job SupportPrenatal Care SupportMental and Behavioral HealthHealth Care SupportSubstance Abuse RecoveryHIV/STI TestingVeteran SupportTransportationUtility SupportLegal ServicesResource and ReferralGovernment
All Services Provided- please check any of the services you no longer are providing

Child CareEarly LearningChild DevelopmentBefore and After School CareSchool or Education SettingEmergency AssistanceFood Support/Prepared MealClothing SupportHousing SupportDisability SupportDomestic Violence Recovery SupportSenior/AgingEmployment Assistance/Job SupportPrenatal Care SupportMental and Behavioral HealthHealth Care SupportSubstance Abuse RecoveryHIV/STI TestingVeteran SupportTransportationUtility SupportLegal ServicesResource and ReferralGovernment
After Submission

All inquiries are subject to approval. All inquires will be reviewed by our Collaboration Specialist. If approved, our Collaboration Specialist will contact the above Agency Representative with further instructions. Thank you for your interest in partnering with the ELRC7.
Should be Empty:

Interactive Resource Map

After Submission