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WORK SEARCH
ACTIVITIES RECORD
HR0077(13/11/05)
Page 1 of 2
THIS IS A MANDATORY FORM FOR APPLICANTS
& MUST BE RETURNED TO THE MINISTRY
Security Classification: MEDIUM
The personal information requested on this form is collected under the authority of and will be used for the purpose of administering the Employment
and Assistance Act and the Employment and Assistance for Persons with Disabilities Act. The collection, use and disclosure of personal information is
subject to the provisions of the Freedom of Information and Protection of Privacy Act. Any questions about this information should be directed to your
Employment and Assistance Centre.
LAST NAME
GIVEN NAME
ADDRESS
POSTAL CODE
BIRTH DATE (YYYY MMM DD)
TELEPHONE
REASONABLE WORK SEARCH ACTIVITIES
GA NUMBER (if applicable)
Examples of work search activities:
• Preparation of (i.e. drafting, typing,
photocopying) resume and/or cover letters,
when completed in combination with employer
contacts
• Telephone inquiries to potential and specific
employers
• Fact finding interviews, when completed in
combination with employer contacts
• Responding to newspaper ads, internet
• Cold calling potential employers
• Networking with friends, relatives, neighbors
previous employers, colleagues or other social
contacts
• Submitting applications for employment
• Submitting letters and/or resumes for
employment
• Participating in employment interviews
• Attending workshops for resume preparation or
employment search
INSTRUCTIONS: List date, type of activity (e.g. resume preparation, personal interview, application, telephone call, networking, etc.), location of
activity, a contact name and phone number and the results of all activities that you have done to improve your opportunities of finding work. Please
refer to the Work Search Toolkit for work search ideas and activities that will assist you to find employment. Prior to submitting this form, sign and date
the declaration and notification at the bottom of page 2 (reverse) of this form.
DATE OF ACTIVITY
TYPE OF ACTIVITY
LOCATION OF ACTIVITY
CONTACT NAME AND
PHONE NUMBER
RESULTS OF YOUR
ACTIVITY
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