Job Search Form

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Job Search Form
When you are on income assistance you are expected to look for a job. You must fill out this form each month
you are on income assistance to show you are looking for work and bring it with you to your income assistance
meeting. If you need more space to show where you have applied for work, please attach another sheet of paper.
Your Name: _________________________________________
Date
Business Name
Person
Type of
Phone
Results of Job Search
Contacted
Work
Number
If you have not tried to find employment, indicate why:
Found work: _____ Sick or Incapable _____ Other _____ (explain below)
______________________________________________________________________________________
______________________________________________________________________________________
Declaration:
I declare that:
All employers listed on this form and on any attached sheets of paper have been contacted.
The information I have given on this form is true.
I understand that AANDC may call my contacts to confirm that I have sought employment with them.
____________________________________
____________________________
Signature
Date

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