In the realm of workforce integration and accountability within New Hampshire, the NH Employment Program (NHEP) Job Search Log Form NHEP223 plays a crucial role, ensuring that individuals actively seeking employment maintain a structured and verifiable approach to their job search efforts. Crafted by the New Hampshire Department of Health and Human Services (DHHS), this document serves not only as a record of an individual's endeavor to find work but also as a tool for reviewing the consistency and seriousness of these efforts over time. Participants are required to meticulously record various details about their job search activities, including the dates of these activities, the names and contact details of potential employers, the type of work sought, and the specific actions taken to pursue these opportunities—ranging from sending resumes to securing interviews. The form further demands a precise account of the time devoted to each activity and the mileage covered during these pursuits, albeit with certain restrictions regarding the calculation of travel time to ensure fairness and accuracy. The necessity to submit this form weekly underlines the state's commitment to fostering a disciplined job search process, emphasizing the importance of persistence and detailed record-keeping in securing employment. Through the implementation of the NHEP223 form, DHHS underscores its dedication to supporting job seekers in New Hampshire with a structured framework that not only aids in the pursuit of employment but also instills a professional rigor in their search efforts.
| Question | Answer |
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| Form Name | Forms Nhep223 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | DFA_NHEP223JSL job search forms for nhep |
NH Department of Health and Human Services (DHHS) NH Employment Program (NHEP)
Job Search Log
Form NHEP223 8/11
Participant Name:
RID #: |
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Begin Date: |
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End Date: |
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Employment Counselor: |
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IMPORTANT: Submit Weekly to NHEP
Instructions: Be sure to completely fill out this form showing exactly where or how you looked for a job. Remember to show how much time you spent for each job search activity, as follows: 15 minutes = .25 hours, 30 minutes = .50 hours, 45 minutes = .75 hours and 1.00 = 1 hour. Also, show the number of miles you drove to and from your home, childcare provider, and between job search locations. NOTE: Travel time for the first and last job contact of the day cannot be included in the Time Spent column.
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Point of Contact: |
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Check Action You Took |
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Check How You Took Action |
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Time Spent |
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Phone #, or |
Name of person, |
Job Title or Type of |
Applicationor |
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Researchor |
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orOnlineFax |
EmailorMail |
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Date of Activity |
(see |
Miles Driven Name of Employer |
Address, Website, |
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PersonIn |
Telephone |
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Address |
Work Sought |
Resume |
Interview |
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Instructions) |
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Job ID # or |
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Newspaper |
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COLU M N |
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Add all time, from the front and back of form, spent in job search per day and enter the totals below. (Form must be completed to be accepted by NHEP) |
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(Continue on back) |
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Saturday |
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T he se t ot a ls ne e d t o m a t c h! |
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Date: |
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Row T ot a l |
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Hours: |
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By subm it t ing t his doc um e nt t o N H EP, I a t t e st t ha t t he a bove hours a nd inform a t ion a re t rue a nd a c c ura t e . Participant Signature: |
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NHEP Comments: |
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Date entered by NHEP: |
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NHEP Signature/Initials: |
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DFA SR |
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(3YC) |
Point of Contact: |
Check Action You Took |
Check How You Took Action |
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Time Spent |
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Phone #, or |
Name of person, |
Job Title or Type of |
Application or |
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Online or Fax |
Mail or Email |
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Date of Activity |
(see |
Miles Driven |
Name of Employer |
Address, Website, |
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Research or |
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Telephone |
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Address |
Work Sought |
Resume |
Interview |
In person |
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Instructions) |
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Job ID # or |
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Newspaper |
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COLU M N |
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