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ACS-CFWB026 Work Search

The document is a Work Search Record form that requires individuals to document their job search activities when applying for childcare assistance. It outlines the requirements for unemployed individuals, including the number of job search activities needed based on the duration of unemployment. Additionally, it provides a list of acceptable work search activities and warns of penalties for providing false information.

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2 views

ACS-CFWB026 Work Search

The document is a Work Search Record form that requires individuals to document their job search activities when applying for childcare assistance. It outlines the requirements for unemployed individuals, including the number of job search activities needed based on the duration of unemployment. Additionally, it provides a list of acceptable work search activities and warns of penalties for providing false information.

Uploaded by

zkk0990
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CFWB-026

REV. 06/22

Work Search Record

Date:

Last Name: First Name:

Have you been unemployed for 30 days or more?  Yes  No

• If you became unemployed within the past 30 days, you must have performed at least one work search
activity OR provide proof that you have applied for unemployment benefits.
• If you have been unemployed for 30 days or more, you must have performed at least three work search
activities during your unemployment.
• Your three work search activities may be a combination of positions you have applied for AND other work
search activities.
• See page 2 for definitions of work search activities and instructions.

Businesses/Employers Contacted:
List jobs you have applied to, interviews you have attended, and businesses/employers you have contacted.

Business/Employer - Contact Information


Date of
Position Applied for Business/Employer name (address, telephone
contact
email, website/URL, fax)

Work Search Activities: List things you did to find a job that were not business/employer contacts.
See reverse for suggested activities.

Date of Activity Activity performed (list your work search activities from page 2)

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CFWB-026
REV. 06/22

Work Search Record Instructions

You must be actively searching for work to qualify for a childcare subsidy, listing your reason as “Looking for Work.”
Federal and state laws provide for penalties of fine, imprisonment, or both if you do not tell the truth when you apply
for Childcare Assistance or when you answer ACS questions about your eligibility, or if you cause someone else not
to tell the truth about your application or continuing eligibility. Penalties also apply if you conceal or fail to disclose
facts about your initial or continuing eligibility for childcare assistance, or if you conceal or fail to disclose facts that
would affect the right of someone to receive or continue receiving Childcare Assistance.

Work Search Activities

Work search activities may include:


1. Visiting a local New York State Career Center
• Meeting with Career Center advisors
• Getting information from Career Center staff about jobs that may be available in a particular industry or
region (obtaining job market information)
• Working with Career Center Staff to assess your skills and matching them to possible occupations and jobs
(skills assessments for occupations matching)
• Participating in instructed workshops
• Getting job referrals and job matches from the Career Center and following up with employers

2. Visiting a job site and completing a job application in person with employers who may be reasonably expected to
have openings

3. Submitting a job application or resume in response to a public notice or want ad or to employers who may
reasonably be expected to have opening

4. Attending job search seminars, scheduled career networking meetings, job fairs, or employment-related workshops
that offer instruction to improve job-hunting skills

5. Interviewing with possible employers

6. Applying for employment with former employer(s)

7. Registering with and checking with private employment agencies, placement services, unions, and placement
offices of schools, colleges, or universities or professional organizations

8. Using the telephone, business directories, internet, or online job-matching systems to search for jobs, get leads,
request referrals, or make appointments for job interviews

9. Applying and/or registering for and taking Civil Service Examination(s) for government job openings.

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