Reset Form
THIS IS A MANDATORY FORM FOR APPLICANTS
& MUST BE RETURNED TO THE MINISTRY
WORK SEARCH
ACTIVITIES 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
Park DEOKHYEON
ADDRESS
3937 Carmichael Terrace, BSMT
POSTAL CODE BIRTH DATE (YYYY MMM DD) TELEPHONE
V8Z7L2 1992 AUG 10 2368821460
REASONABLE WORK SEARCH ACTIVITIES GA NUMBER (if applicable)
Examples of work search activities:
• Preparation of (i.e. drafting, typing, • Cold calling potential employers
photocopying) resume and/or cover letters, • Networking with friends, relatives, neighbors
when completed in combination with employer previous employers, colleagues or other social
contacts contacts
• Telephone inquiries to potential and specific • Submitting applications for employment
employers • Submitting letters and/or resumes for
• Fact finding interviews, when completed in employment
combination with employer contacts • Participating in employment interviews
• Responding to newspaper ads, internet • Attending workshops for resume preparation or
employment search
INSTRUCTIONS: List date, type of activity (e.g. resume preparation, personal interview, application, telephone call, networking, etc.), location of
activity, a contact name and phone number and the results of all activities that you have done to improve your opportunities of finding work. Please
refer to the Work Search Toolkit for work search ideas and activities that will assist you to find employment. Prior to submitting this form, sign and date
the declaration and notification at the bottom of page 2 (reverse) of this form.
CONTACT NAME AND RESULTS OF YOUR
DATE OF ACTIVITY TYPE OF ACTIVITY LOCATION OF ACTIVITY
PHONE NUMBER ACTIVITY
Medical Reasons That I could not find a
employer
HR0077(18/03/26)
Security Classification: MEDIUM SENSITIVITY Page 1 of 2
Reset Form
THIS IS A MANDATORY FORM FOR APPLICANTS
& MUST BE RETURNED TO THE MINISTRY
WORK SEARCH
ACTIVITIES RECORD
CONTACT NAME AND RESULTS OF YOUR
DATE OF ACTIVITY TYPE OF ACTIVITY LOCATION OF ACTIVITY
PHONE NUMBER ACTIVITY
Del
(ADD ADDITIONAL PAGES IF NECESSARY)
Add Row
IF YOU HAVE HAVE NOT LOOKED FOR WORK, PLEASE INDICATE WHY.
HOSPITALIZED OVER 65 YEARS OF AGE ✔ MEDICAL OR PHYSICAL CONDITION
OTHER (EXPLAIN)
DECLARATION AND NOTIFICATION
I declare that all the information I have provided in this form is true and complete. I understand the accuracy of the information I provide will be checked
by comparing it against information held by other governments, private agencies and individuals. I understand that the BC government may verify and
obtain information to confirm my eligibility.
SIGNATURE PRINT NAME DATE (YYYY MMM DD)
DEOKHYEON PARK 1992 AUG 10
HR0077(18/03/26)
Security Classification: MEDIUM SENSITIVITY Page 2 of 2
