Job Search Form

Job Search Form PDF Version (71 KB, 1 page)

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: _______________________________

Job Search Form
Date	Business Name	Person Contacted	Type of Work	Phone Number	Results of Job Search

If you have not tried to find employment, indicate why:

Found Work _____
Sick or Incapable _____
Other _________________________

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

Did you find what you were looking for?

What was wrong?

I can't find the information

The information is hard to understand

There was an error or something didn't work

Other reason

Please provide more details

You will not receive a reply. Don't include personal information (telephone, email, SIN, financial, medical, or work details).
Maximum 300 characters

Date modified:: 2012-04-20