JumpStart SCN
Connect New Yorkers with food, housing, and transportation support.
Format: 2 letters, 5 numbers, 1 letter (e.g. AB12345C).
Is anyone in the household pregnant or postpartum? *
1. Does your household need help with food? *
2. Does your household receive WIC or Food Stamps (SNAP)? *
3. Does anyone in the household currently work? *
4. Does anyone in the household have dietary restrictions or food allergies? *
5. Does anyone in the household need help with transportation? *
6. Is your household behind on paying rent? *
7. Does your household receive Section 8 housing assistance? *
8. Has your household's electricity been shut off or received a shut-off notice? *
Client Status *
Select New Client if this is the first time enrolling in the SCN program, or Transfer Client if they are moving from another SCN provider.
If you have a signed provider attestation, you may upload it here. This is optional. Accepted: PDF or image files, up to 10MB.