Shortcode for "Add a location"

Is it possible to add a form (maybe a shortcode) for registered or unregistered users can add their own places and be requiered an approval by the admin before it gets published?

Something like this test.quehaypahacer.com.co/agregar-un-evento/

Thanks for the plugin!

http://ww.wp.xz.cn/extend/plugins/simplemap/