Office of Employment and Training Job Openings

[ Layout and positioning for Job Contact Form ]

Job Contact Form
This form is to be used for the (KEN) Reemployment Services Program ONLY. It is not to be used for the Unemployment Insurance Eligibility Review Program. You must report in-person at your local office for the Unemployment Insurance Eligibility Review Interview as directed and provide your job contact Information.

Last Name:			First Name:


1. Date Contacted	Employer Name	Employer Address		Person Contacted

Emp. Phone Number	Position Applied For	Results


2. Date Contacted	Employer Name	Employer Address		Person Contacted

Emp. Phone Number	Position Applied For	Results


3. Date Contacted	Employer Name	Employer Address		Person Contacted

Emp. Phone Number	Position Applied For	Results


4. Date Contacted	Employer Name	Employer Address		Person Contacted

Emp. Phone Number	Position Applied For	Results


5. Date Contacted	Employer Name	Employer Address		Person Contacted

Emp. Phone Number	Position Applied For	Results


6. Date Contacted	Employer Name	Employer Address		Person Contacted

Emp. Phone Number	Position Applied For	Results

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