For Local Providers

Apply to Join
the Shortlist

We're always looking for reliable, community-minded providers. The application takes about 10 minutes and we respond personally within 5–7 business days.

Provider Application

Please fill out the form below as completely as possible. The more context you give us, the better we can understand your work and represent you accurately on the Shortlist.

About You
Your Services

Check all that apply.

Credentials & Documentation

We will verify this through the WV Division of Labor.

If yes, we will request your certificate of insurance by email after reviewing your application.

About Your Work

This may appear as your bio on the Shortlist. Write as you'd want a neighbor to read it.

By submitting this application you confirm that all information provided is accurate to the best of your knowledge. Listing on the Shannondale Shortlist is subject to review and approval. We respond to all applications personally within 5–7 business days.

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Application Received

Thank you for applying to the Shannondale Shortlist. We review every application personally and will be in touch within 5–7 business days.

We appreciate your patience — and for caring enough about this community to want to be part of it.

Submission of an application does not guarantee listing on the Shannondale Shortlist. All applications are reviewed at our discretion. Information provided is used solely for vetting purposes and will not be shared with third parties. Shannondale Shortlist reserves the right to decline or remove any listing at any time.