If your family is looking for assistance with housing or shelter resources, please contact us using the form below.

You can also leave a message at 
978-922-0787 x1

All phone and online requests will be answered within 72 hours.

Please note that our services are only available for families with at least one child under the age of 18. Our shelter is currently full, but is accepting waitlist applications.

Complete Intake Form

If your family is in need of Emergency Shelter, Financial Assistance Related to Temporary or Permanent Housing Stability, Eviction Prevention, or any needs related to housing and homelessness prevention, please fill out this form to contact our staff.

We will be in touch as soon as possible after receiving your message,
but definitely within 2-3 business days.

 

  • Please check all that apply.
  • Please help us better understand your situation and what kind of support would be most helpful.
  • Include anyone in your household who is 19 years and above.
  • Providing this information is is optional; if you prefer not to answer write "prefer not to answer." This information (and your decision about whether to provide it) will not be used to determine eligibility for services.
  • If pregnant, please count as 1 child in this category. If none, write 0.
  • Providing this information is optional; if you prefer not to answer write "prefer not to answer." If you or someone in your household is pregnant, you can include how many weeks pregnant in this section. This information (and your decision about whether to provide it) will not be used to determine eligibility for services.
  • If none, write 0.
  • Providing this information is is optional; if you prefer not to answer write "prefer not to answer." This information (and your decision about whether to provide it) will not be used to determine eligibility for services.
  • Include all cash sources like wages, unemployment insurance, cash assistance, child support, alimony, etc. but do not include food support, WIC, fuel assistance, or other non-cash benefits.
  •