Job Services > Log

Click on the link below to download/print the form:

(Sample Form Below)

Send in Weekly and Use Ink Please

JOB SEARCH LOG

 

NAME:

     

Week of:

 

SETS CASE #:

     

SSN:

 

 

DATE &TIME      COMPANY NAME      COMPANY ADDRESS      PHONE NUMBER    PERSON CONTACTED 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please provide additional information to update the CSEA office on your job search progress, interviews, etc. If you have not met your established weekly goal, please provide explanation, documentation. ______________________________________________________________________________

 

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LIST ANY OTHER APPOINTMENTS THAT YOU HAVE ATTENDED:

(ATTACH APPROPRIATE VERIFICATIONS )

1)

2)

3)

4)