Request Assistance - MACCMother and Child Charity (MACC) provides direct assistance to homeless children, adults, and families through community distribution when resources are available. If you are in immediate danger or crisis, please visit our Emergency resource page for urgent support options before completing this form. Submitting this form does not guarantee assistance and depends on available resources.Please enable JavaScript in your browser to complete this form.Applicant InformationName *FirstMiddleLastEmail *EmailConfirm EmailPhoneCurrent SituationCurrent Living SituationUnsheltered / OutdoorsEmergency shelterTransitional housingStaying temporarily with othersAt risk of homelessnessTown and CityHouseholdThis request is for *Individul Family Numbers of AdultsNumbers of children Assistance NeededHygiene personal care itemsClothing / shoesBaby / toddler essentials School suppliesFood supportTechnology support Emergency assistance Other Select all that apply.Briefly describe what you needUrgency *Immediately (72 hours)Urgent (within 7 days)Not urgent Acknowledgment *I certify that the information provided is accurate and consent to MACC contacting me regarding this request. Submit