Worksearch Log Form PDF Details

In order to keep track of your job search progress, it can be helpful to use a worksearch log form. This form will help you to record the contact information for each employer you speak with, as well as the date and time of the conversation. You can also use this form to track the progress of your job application materials. Having all of this information in one place will make it easier to keep track of your job search efforts.

QuestionAnswer
Form NameWorksearch Log Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesunemployment work search log, work search log, how to fill out a work search log for unemployment massachusetts, how to fill out unemployment work search

Form Preview Example

W ORK SEARCH ACTIVITY LOG

The Massachusetts Department of Unemployment Assistance (DUA) requires that as a condition of eligibility you M UST :

Make at least 3 work searches per week. Each work search must be conducted on a different day;

Keep a detailed written log of your work search activities. Remember to bring printed completed copies of all Work Search Activity Logs to your Career Center appointments;

Provide your work search information to DUA upon request.

This log is provided to help you track your work search activities. Most likely you have done more, but you only need to list one activity on three (3) different days for each week claimed. I f you need additional logs, you can download a copy at www.mass.gov/ dua/ worksearch or obtain a copy at your local Career Center.

PRI NT A COPY OF WORK SEARCH ACTI VI TY LOG ( THIS FORM ) PRI OR TO SUBMI SSI ON.

Name

 

 

Social Security Number

 

 

 

 

 

 

Previous Occupation

 

Occupation of I nterest

 

 

Previous Pay Rate $

 

Minimum Acceptable Pay Rate $

 

Week beginning Sunday:

11 / 02 / 14

through Saturday: 11 / 08 / 14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JOB ID OR PERSON

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

 

 

 

 

 

PAY RATE

 

 

EMPLOYER/ ADDRESS/ TELEPHONE

CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

SAMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ABC Research, Incorporat ed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J obt own, M A

 

Informat ional Phone

M ade Net work

11/ 3 / 14

Analyst

 

 

 

 

 

 

 

 

 

$5 2 , 0 0 0 per year

 

 

5 0 8 - 774 - 9 8 76

J en Smit h

Int erview

Cont act

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J oe’s Diner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Anyt own, M A

 

 

 

11/ 5 / 14

Cook

 

 

 

 

 

 

 

 

 

$12

per hour

 

 

5 0 8 - 79 1- 1110

J oe J ones

Walk- in

N o openings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cont act N ame or

 

 

11/ 7/ 14

Personal Trainer

$2 5

per hour

 

 

 

 

Personal Best Training

J ob ID N umber

Web

Closed

Week beginning Sunday:

/

 

/

 

 

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

 

 

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/ /

 

through Saturday:

/ /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

DATE

POSI TION

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

PHONE, MAI L, JOB FAIR,

 

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 1750

REV 11-2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NETWORKI NG, ETC.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 1750 REV 11-2014