211 Emergency Request

Please complete the entire form- your request cannot be processed without all information! We will call you when your order is ready for pickup. As always, this program is confidential and private. If you are uncomfortable providing any identifying information on this form, you may contact the main office directly at 508-435-6511 or request@projectjustbecause.org. Please note that you must show a legal form of identification for all individuals applying. Project Just Because does not have or provide gift cards, pay rent or mortgages, and does not pay bills to our 211 system.

Shelter/Safe House

If you currently live in a shelter or safe house, please list the name and contact info for the shelter/safe house.

Additional Information

The 211 Emergency program provides necessities such as clothing, shoes, bedding and housewares to help people in crisis get back on their feet. If you are fleeing a domestic abuse situation, have been the victim of a natural disaster and house fire, are transitioning from homelessness or incarceration, or have recently immigrated to Massachusetts as a refugee, please list all items needed in the form  below.  We will do our utmost to meet as many of your requests as possible. If you do not meet any of the criteria above but are still in need of necessities, please utilize our other programs including the Free Clothing Store.

Adult #1

Women: please use a number size when possible. For example: “women’s 10”
Men: please specify waist x length for pants. For example: “men’s pants 36×30”

Adult #2

Women: please use a number size when possible. For example: “women’s 10”
Men: please specify waist x length for pants. For example: “men’s pants 36×30”

Adult #3

Women: please use a number size when possible. For example: “women’s 10”
Men: please specify waist x length for pants. For example: “men’s pants 36×30”

Adult #4

Women: please use a number size when possible. For example: “women’s 10”
Men: please specify waist x length for pants. For example: “men’s pants 36×30”

Child #1

Please specify exact sizes. For example: child shirt size 8, child pant size 10.

Child #2

Please specify exact sizes. For example: child shirt size 8, child pant size 10.

Child #3

Please specify exact sizes. For example: child shirt size 8, child pant size 10.

Child #4

Please specify exact sizes. For example: child shirt size 8, child pant size 10.

Child #5

Please specify exact sizes. For example: child shirt size 8, child pant size 10.

Child #6

Please specify exact sizes. For example: child shirt size 8, child pant size 10.

Submit

Please add request@projectjustbecause.org to your safe senders list in your email account to ensure delivery of your request receipt. If you do not receive your email confirmation, please check your SPAM folder.
For security verification, please enter any random two digit number. For example: 59