North End Community Support Request

We're glad you're here. Please complete this form to request support for yourself or on behalf of a community member.

This form helps us coordinate support with clarity and care. While we may not be able to meet every request, we will work to connect you (or the person listed below) with available resources. Please share only the information needed for coordination.

About This Request

Date

Who is this request for

Myself

Someone else

Is the person who needs support located in the North End?

Yes

I'm not sure

Who will this support help?

For example: two elders, one adult, family with children, etc. Please do not include names or any private details.

What Support is Needed?

Type of support (check all that apply)

Please be specific about items, quantities, timing, or access needs.

Food or groceries

Medication or help getting prescriptions

Hygiene supplies

Baby supplies

Transportation

Connection to legal support

Connection to counseling or mental health

Other

When would support be most helpful?

Within 24 hours

Within 2-5 days

Flexible

If there is a deadline or urgent risk (for example: shutoff, eviction notice, missed appointment), please share details,

Access and Other Supports

Has the person already tried other support options (for example: Our Linktree, list of shelves, etc)?

Yes

Not sure

List of area food shelves

North End Mutual Aid Linktree

Safety and Communication

Please share any privacy, safety, language,cultural, or accessibility concerns that we should keep in mind.

Who should we contact about this request?

Contact me (the person filling out this form)

Contact the person who needs support

Contact someone else

How should we get in touch?

Phone call

Text message

Signal

Additional Context (Optional)

Is there anything else that helps us understand why this request is important right now?

Please share anything else that would support fair and respectful coordination?

Thank you for sharing your request. If this request is urgent, we will do our best to respond as soon as possible. Most requests receive a response within 48 hours.

*If this need gets met, please let us know ASAP so that we can focus on other urgent requests.

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