Self Directed Job Search Log

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Self Directed Job Search Log
Workforce Solutions East Texas
Choices
NCP Choices
SNAP
Week Dated :
Sunday :
6/26/16
to
Saturday:
7/2/16
Name:
OFFICE USE ONLY
TWIST ID:
Date
6/26/16
6/27/16
6/28/16
6/29/16
6/30/16
7/1/16
7/2/16
Day
Sun
Mon
Tue
Wed
Thur
Fri
Sat
Total
Self Directed
30
Hours Required Each Week:
Supervised
7/4/16
Total
Log Must be Returned:
1st Audit:
Date: ______________________
2nd Audit:
Date:
Credited
Company Contact Details
Hours
Contact Person
Date Applied:
Company Name:
(First and Last Name)
City:
Phone:
Position Applied:
Contact Person
Date Applied:
Company Name:
(First and Last Name)
City:
Phone:
Position Applied:
Contact Person
Date Applied:
Company Name:
(First and Last Name)
City:
Phone:
Position Applied:
Contact Person
Date Applied:
Company Name:
(First and Last Name)
City:
Phone:
Position Applied:
Contact Person
Date Applied:
Company Name:
(First and Last Name)
City:
Phone:
Position Applied:
Total Credited Hours:
I understand that I must meet the 30 hour requirement to be in compliance. I certify that the information provided is true and correct.
Signature:
Date:
Received by:
Date:

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