B-19, Working Draft

[Pages:1]WORK-SEARCH LOG

You must keep a record of your job contacts. You may be asked to produce this record at any time.

Date Mo/Day/Yr

Employer Name, Address, Telephone Number, or E-mail Address

How Contacted

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/ Fax

In Person Telephone Mail E-Mail/ Fax

In Person Telephone Mail E-Mail/ Fax

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/Fax

In Person Telephone Mail E-Mail/Fax

Person Contacted

Work Sought

Results

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Not Hiring Pending Hired

Application or Resume

Filed?

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

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