Resource Request Form

Are you looking for community resources, events, activities, or opportunities local to you in the Northeast Region of MA? Review the information submit your request below by providing general information.

Important Privacy Notice: Please do not include any Protected Health Information (PHI) or personal identifying information in this form. Examples: full name, date of birth, addresses, Social Security number, MassHealth or Medicaid ID number, medical diagnosis, treatment information, DDS consumer ID numbers

Northeast Region Area Selection

Central Middlesex Acton, Arlington, Bedford, Boxboro, Burlington, Carlisle, Concord, Lexington, Lincoln, Littleton, Maynard, Stow, Wilmington, Winchester, Woburn

Lowell Billerica, Chelmsford, Dracut, Dunstable, Lowell, Tewksbury, Tyngsboro, Westford

Merrimack Valley Amesbury, Andover, Boxford, Georgetown, Groveland, Haverhill, Lawrence, Merrimac, Methuen, Newbury, Newburyport, North Andover, Rowley, Salisbury, West Newbury

Metro North Everett, Lynnfield, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield

North Shore Beverly, Danvers, Essex, Gloucester, Hamilton, Ipswich, Lynn, Manchester, Marblehead, Middleton, Nahant, Peabody, Rockport, Salem, Swampscott, Topsfield, Wenham

Requesting a Resource

Please select all categories related to your request. You may use space below to also provide additional information to help us identify the most appropriate resources, events, activities, and opportunities. 

For example, if you select "Recreation Programs," please give more information about your specific request, such as "art classes for adults with autism," or "adaptive outdoor activities for kids."

Accessibility Considerations & Accommodations

Please provide accessibility considerations or accommodations needed so that the Community Resource Center can identify resources that meet your needs.

For example: wheelchair accessible venue, ASL interpretation, sensory sensitivities, access via public transportation, large print, 1:1 support, etc.

Complete & Submit

Reminder: Do not include full names, medical information, or other personally identifying information.