What county do you live in?
Where are you using NJHelps from?
Other State Agency
Federal Government Agency
How did you hear about NJHelps?
One Stop Career Center
Do you have a spouse that lives with you?
*How many of your and/or your spouse's children under 21 live with you?
*How many other children under 21 live with you?
*How many other adults, age 21 or older, live with you?
Note: Include all children 21 and older, but do not include your spouse.
Is everyone in your household a US citizen?
Note: If you answer "No" to this question, you will be asked about the immigration status of each person in your household. You do not need to be a citizen to qualify for some benefits.
Does everyone in your household share food?
Has the Social Security Administration or Department of Veterans Affairs determined anyone in your household to be disabled or blind
Can everyone between the ages of 16 and 65 read and speak English?