Wood CountyChild Support Work Search Log

Name______Month______

IVD# or Social Security#______

Note: Employer contacts do NOT require a signature by the employer for verification but you do need to write down the name of the person you talked to. Your case manager will contact employers to verify that you have made legitimate contacts. Remember you need to apply for 40 jobs per month and submit this form to the Wood County Child Support Agencyat the end of each month to be in compliance. You can drop of the log in person or by mailing it to the Wood County Child Support Agency 400 Market St. PO Box 8095, Wisconsin Rapids, WI 54495

Examples

# / Employer and
Position Applied for / Date / Method of Contact / Person Contacted and
Contact Information / CSA Worker’sVerification
1 / Mobil Gas Station
Cashier / Application
Resume
Interview / Face-to-face
On-line / Tom Miller.
(715)555-5555, 123 North St, Wis. Rapids / Called Tom 5/10/07 application is on file.
2 / McDonald’s
Cook / Application
Resume
Interview / Face-to-face
On-line / On-line @

# / Employer/
Position of Interest / Date / Method of Contact / Person Contacted/
Contact Information / CSA Worker’s Verification
1 / Application
Resume
Interview / Face-to-face
On-line
2 / Application
Resume
Interview / Face-to-face
On-line
3 / Application
Resume
Interview / Face-to-face
On-line
4 / Application
Resume
Interview / Face-to-face
On-line
5 / Application
Resume
Interview / Face-to-face
On-line
6 / Application
Resume
Interview / Face-to-face
On-line
7 / Application
Resume
Interview / Face-to-face
On-line
8 / Application
Resume
Interview / Face-to-face
On-line
9 / Application
Resume
Interview / Face-to-face
On-line
10 / Application
Resume
Interview / Face-to-face
On-line
11 / Application
Resume
Interview / Face-to-face
On-line
12 / Application
Resume
Interview / Face-to-face
On-line
13 / Application
Resume
Interview / Face-to-face
On-line
14 / Application
Resume
Interview / Face-to-face
On-line
15 / Application
Resume
Interview / Face-to-face
On-line
16 / Application
Resume
Interview / Face-to-face
On-line
17 / Application
Resume
Interview / Face-to-face
On-line
18 / Application
Resume
Interview / Face-to-face
On-line
19 / Application
Resume
Interview / Face-to-face
On-line
20 / Application
Resume
Interview / Face-to-face
On-line
21 / Application
Resume
Interview / Face-to-face
On-line
22 / Application
Resume
Interview / Face-to-face
On-line
23 / Application
Resume
Interview / Face-to-face
On-line
24 / Application
Resume
Interview / Face-to-face
On-line
25 / Application
Resume
Interview / Face-to-face
On-line
26 / Application
Resume
Interview / Face-to-face
On-line
27 / Application
Resume
Interview / Face-to-face
On-line
28 / Application
Resume
Interview / Face-to-face
On-line
29 / Application
Resume
Interview / Face-to-face
On-line
30 / Application
Resume
Interview / Face-to-face
On-line
31 / Application
Resume
Interview / Face-to-face
On-line
32 / Application
Resume
Interview / Face-to-face
On-line
33 / Application
Resume
Interview / Face-to-face
On-line
34 / Application
Resume
Interview / Face-to-face
On-line
35 / Application
Resume
Interview / Face-to-face
On-line
36 / Application
Resume
Interview / Face-to-face
On-line
37 / Application
Resume
Interview / Face-to-face
On-line
38 / Application
Resume
Interview / Face-to-face
On-line
39 / Application
Resume
Interview / Face-to-face
On-line
40 / Application
Resume
Interview / Face-to-face
On-line

Signature ______Date______