Add Listing - Team CarePal

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Your Details

Name *Enter your name.

Email *Enter your email address.

Enter Listing Details

Company Information:

Name of Individual or Organization *Enter the title.

Company Phone Number

Email Address

Website (if applicable)

Physical Address

Please enter the listing street address. eg. : 230 Vine Street

CountryClick on above field and type to filter list.

RegionClick on above field and type to filter list or add a new region.

CityClick on above field and type to filter list or add a new city.

Zip/Post CodePlease enter listing Zip/Post Code

Click on "Set Address on Map" and then you can also drag map marker to locate the correct address

Address LatitudePlease enter latitude for google map perfection. eg. : 39.955823048131286

Address LongitudePlease enter longitude for google map perfection. eg. : -75.14408111572266

Select Map ViewPlease select listing map view to use

Are you non-profit, for-profit, public sector, social enterprise or other?

Number of Employees

Brief Description of Your OrganizationEnter a description

Category of service offering. *

Select one or more category that best fits your organization.

Default Category *The default category can affect the listing URL and map marker.

Hours of Operation

Yes

Day	Open 24 hours	Opening Hours	Add

Mon
Tue
Wed
Thu
Fri
Sat		Closed
Sun		Closed
Timezone:

Select your business opening/operating hours.

CostAre there fees or is the service provided at no cost?

Please provide details on the cost.

Eligibility & AccessibilityCould you please provide information on the specific accessibility accommodations you offer and any eligibility requirements needed to access your services?

Is your service tailored to a specific demographic?If yes, please choose the relevant demographic(s) below.

Does your service concentrate on a specific condition or diagnosis?If so, please select the relevant option(s) below.

Point of Contact:

Name of Individual

Job Title

Email Address

LinkedIn Profile

References

( Minimum of 2 former or current clients and/or other businesses that you have worked with (Please provide names and contact information) )

Reference # 1 Name

Contact Email

Reference #2 Name

Contact Email

Regulated Bodies:

Are you affiliated with a professional association?

Who are you associated with?Fill in the name of who you are associated with.

Other:

Can you provide a copy of a business license (if needed)

Can you provide proof of insurance? (If needed)

Team CarePal Navigator (Optional)

( If you want to assist caregivers in navigating their caregiving journey, please read and accept our terms below. )

Team CarePal NavigatorPlease accepet our terms & conditions

Navigator Y/N

Type 64 into this box

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