Job Search Form

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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


Business Name

Person Contacted

Type of Work

Phone Number

Results of Job Search









































































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


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.