Enter the name of your agency, organization or group. If your program is not part of a larger agency, enter the program name here.
Enter the mailing address of the parent agency. The address entered will be available to the public using the database
Enter additional relevant information for the mailing address
Enter the City for the mailing address
MA is entered. If the mailing address state is not MA, change to the correct 2-letter abbreviation
Enter the 5 or 9 digit zip code
Enter the main phone number of the agency, including area code and extension.
Enter phone number including 800-xxx-xxxx. Leave blank if there is no number.
List the TTY number for deaf and hard of hearing callers. Leave blank if there is no number. Callers will use the relay system number.
Enter the fax number including area code. Leave blank if there is no fax number.
Hours that the agency is open
In 25 or less words, please describe the agency:
Enter the name of the program. If there are 5 programs in your agency, a separate Program Record is necessary for each program to be listed in the database:
Enter the first and last name of the person to call to find out information or ask questions about this program. If the program has a central line, please enter the name of the person who will answer the phone; or, if there are multiple people answering phones, please enter “Receptionist.”
Enter the name and
email address of the staff person who is submitting this update, and who can be
contacted with questions about this listing.
Same Address:
Screen will refresh and program address will be entered below.
Enter the address of the program where the public (consumer) can write to reach the Program Contact or to find out more about the program. This address may be different than where the program is held.
Enter additional relevant contact information
Enter the city for the contact mailing address
MA is entered
If the mailing address state is not MA, change to the correct 2 letter abberviation.
Enter the 5 or 9 digit zip code.
Enter the phone number associated with the contact person or people
Enter the phone number. 800-xxx-xxxx. Leave blank if no toll free number.
List the TTY number for deaf and hard of hearing callers. Leave blank if no number is available. Callers will use the relay system.
Enter fax number including area code. Leave blank if there is no fax number.
Enter the e-mail address of the contact person or people. If this person does not have an email address, enter either the general program e-mail address, or leave blank.
List the web address of the parent agency and/or program. Web site addresses are not case sensitive. Do not type the http://.
Enter the hours and days of the week that the program is available, and the time(s) of year the program is offered. (Example: 2:00 – 5:00 pm, Monday – Friday during the school year; and 9:00 am – 5:00 pm, Monday – Friday during the summer.)
Location(s) of Program/Services:
Indicate the areas/zip codes in which your program actually operates. Individuals from other areas may be able to participate in your programs, but for this question, limit your responses to those areas/zip codes where your program is physically held or in which activities are offered.
Mail To:
Select one of the following
Enter a brief, easy-to-read description of your program’s activities and services. This summary must be 75 words or less, and should not contain an agency description. Help
Limit: 75 words.
Enter a very brief description of your target population that accurately reflects the majority of people who you serve or are trying to serve. Field Limit: 10 Words
Enter any language that is spoken by a staff member who is available to talk to people. This may include, depending on your program structure, part time staff members and/or volunteers.
Are there requirements or restrictions about who can participate in the program based on any of the following?
Provide necessary information on the eligibility or enrollment process.
Indicate separately if someone will need to make an appointment; to obtain a referral; or to register for the program.
Indicate more specifics about the type of referral needed.
Indicate all fee options for the program.
Enter any additional information that would be helpful to explain your fee structure.
Click all information that will be helpful to people when coming to the program location.
Provide additional information that will assist or identify details people would need to know when coming to the program.
Indicate the closest T Stop OR Bus line
