Whether you prefer to complete our Referral Application
online or on paper, we've got you covered.
Please read this important message from our Program Director, Greg Stoutzenberger.
Our online form will require you to create a site membership. This will allow you to save your progress and submit only when the application is complete.
If you prefer paper, Our application pdf is downloadable right here.
Completed paper applications should be delivered by email to firstname.lastname@example.org
or mailed to:
The Mayhew Program
PO Box 120
Bristol, NH 03222
Any questions, please call Sally Sheffield at (603) 744-6131