Form 1750 - Work Search Activity Log - Department Of Unemployment Assistance

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Work Search Activity Log
Job Search Requirements
To continue receiving benefits, you must:
Use this Work Search Log to:
Look for work at least:
• Record your job search activities,
• 3 times per week on
• Take to your Career Center appointments, and
• 3 or more different days
• Prove you are looking for work if you are randomly selected.
You must also keep a record of your work searches..
If you are a union member and may only accept work through your union,
Get more copies of this form at any Career Center or at
you must keep track of all contacts between you and the Union.
Job Search Log
Name __________________________________ Social Security Number ______________________________ Previous job ________________________________
Previous pay $ _____________ Job(s) you are looking for now: ______________________________________ Minimum pay you will accept $ __________________
Week 1: Starting Sunday (date): ________________________________ Through Saturday (date): ___________________________________
Employer name /
HOW CONTACTED: Web, phone,
Date
Position
Pay rate
Person contacted
Results
address / phone / URL
mail, job fair, networking, etc.
Week 2: Starting Sunday (date): ________________________________ Through Saturday (date): ___________________________________
Employer name /
HOW CONTACTED: Web, phone,
Date
Position
Pay rate
Person contacted
Results
address / phone / URL
mail, job fair, networking, etc.
Form 1750 Rev. 07-15

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