Job Search Log s1

MWA JOB SEARCH LOG

Participant’s Name DCN

Job Search Period Dates to Hours Required

Bring Completed Form to Your Appointment at: on at am/pm. (Location) (Date) (Time) (Circle)

Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
I certify that all of the information on this “MWA Job Search Log” is true. ______
Signature of Participant
Office Use Only
Date Returned: ______Total Job Search Hours: ______TRE if Participation is Met: ______X ______= ______
# of Days Cost (Up to $5) Total

Participant’s Name DCN Hours Required

Job Search Dates From to Appointment Date and Time:

Please Read and Agree to the Following:

·  You are required to job search the “Hours Required” written in the box at the top of the “MWA Job Search Log” form.

·  Only hours spent job searching can be counted. These hours can be met by any combination of the following:

o  Completing in-person applications.

o  Attending interviews either on the phone or in-person.

o  Responding to classified advertisements.

o  Completing on-line applications either at home or at the employer’s worksite.

o  Attending, completing employment applications, and speaking with potential employers at job fairs.

o  Online research through MissouriCareerSource.com and other state and national data bases.

o  Travel time between multiple interviews or job search activities.

·  One week of job search is equal to 7 days. Generally, your “job search period” will begin on a Saturday and end on a Friday. If you start a job search in the middle of a week, your case manager may ask you to complete all hours within that week or make them up within the month.

·  The fully completed “MWA Job Search Log” must be returned in-person on the appointment date, unless you have made other arrangements with your case manager. If you find you are unable to return the log on your appointment date, you must contact your case manager prior to the appointment to schedule another time.

·  You may not contact the same employer more than once during the Job Search period, unless during the first contact the employer stated jobs may soon come open and asked you to make another contact.

·  Failure to complete the job search activity or falsifying any information on the form will mean you are not complying with the Missouri Work Assistance (MWA) program. In addition, you will not be eligible for Transportation Related Expense (TRE).

If you cannot complete the Job Search as required, you must contact your case manager.

I understand that I must complete the required number of hours; furnish the information on this form; and report back to this office on the date scheduled.
Signature of Participant / Telephone Number / Date
If you have questions during the Job Search period, please contact the Case Manager listed below.
Signature of MWA Case Manger / Date / Telephone Number
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______
Date: ______
Hours Spent:
______/ Business Name, Address & City:
______
______
Name and Phone Number of Contact:
______/ Position Applied For: ______
Type of Contact:
In-Person Mailed/faxed application or resume
On-Line (List location applied from):
______/ Results:
Hired No Openings
Interview & Date ______
Other (Explain):______
______