Job Search Record - Westbank First Nation

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Job Search Record

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:

* CITY:

* PROVINCE:

* POSTAL CODE:

* BIRTH DATE (YYYY MMM DD):

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* TELEPHONE:

* 1. DATE OF ACTIVITY (EXAMPLE- JAN 1, 2017):

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* TYPE OF ACTIVITY (EX- DROPPED OF RESUME):

* NAME OF BUSINESS (EX- TIM HORTONS, WESTBANK):

* CONTACT NAME & PHONE NUMBER (EX-KATHY-MANAGER 250-555-4615):

* RESULTS OF YOUR ACTIVITY (EX- RECEIVED CALL FOR INTERVIEW):

* 2. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 3. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 4. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUISINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 5. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 6. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVIITY:

* 7. DATE OF YOUR ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 8. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 9. DATE OF ACTIVITY:

* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 10. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 11. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 12. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 13. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 14. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY:

* 15. DATE OF ACTIVITY:

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* TYPE OF ACTIVITY:

* NAME OF BUSINESS:

* CONTACT NAME & PHONE NUMBER:

* RESULTS OF YOUR ACTIVITY: