OUTSIDE JOB SEARCH CONTACT LOG

OUTSIDE JOB SEARCH CONTACT LOG
Due
ParƟcipant : _____________________________________________________________ Client/Recipient ID:_______________________
Date: ______________________
Michigan Works! ^ƚĂĨĨ Name: ______________________________________________________________________________
Time:_______________________ (Print First & Last Name)
(Print First & Last Name)
Week Begin Date (Sunday) : ________________________________Week End Date (Saturday): _________________________________
Date
Employer Name & Phone Number
Employer Address or Website Address
AcƟvity (circle one)
Actual Time Spent (check one)
Interview
Application
Follow-up
Resume
Internet Other______________
15 Min
30 Min
45 Min
60 Min
If more than 1 hr ________
Interview Applica on Resume Follow‐up Internet Other______________ □ 15 Min
□30 Min
□ 45 Min
□60 Min
□ If more than 1 hr ________
Interview Applica on Resume Follow‐up Internet Other______________ □ 15 Min
□30 Min
□ 45 Min
□60 Min
□ If more than 1 hr ________
Interview Applica on Resume Follow‐up Internet Other______________ □ 15 Min
□30 Min
□ 45 Min
□60 Min
□ If more than 1 hr ________
Interview Applica on Resume Follow‐up Internet Other______________ □ 15 Min
□30 Min
□ 45 Min
□60 Min
□ If more than 1 hr ________
Interview Applica on Resume Follow‐up Internet Other______________ □ 15 Min
□30 Min
□ 45 Min
□60 Min
□ If more than 1 hr ________
Interview Applica on Resume Follow‐up Internet Other______________ □ 15 Min
□30 Min
□ 45 Min
□60 Min
□ If more than 1 hr ________
Interview Applica on Resume Follow‐up Internet Other______________ □ 15 Min
□30 Min
□ 45 Min
□60 Min
□ If more than 1 hr ________
ParƟcipant Signature:___________________________________________________
Total Hours Above: _________
By signing above, I agree that the informaƟon I provided
is true to the best of my knowledge.
Page _____ of _______
WR-205 (Revised Date: 10/01/14)
Equal Opportunity Employer/Service Provider. Michigan Relay Center (800) 649
Equal Opportunity Employer/Service Provider. Michigan Relay Center (800) 649‐‐3777. Auxiliary Aids and Services Available to Individuals with Disabili
3777. Auxiliary Aids and Services Available to Individuals with Disabili es.