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Job Search Worksheet

  1. SNAP E&T Agreement

    If I am a customer of the Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Program, I will receive no further notice of this appointment and understand that failure to attend or call to reschedule will result in a penalty request against my SNAP benefits.

  2. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that: your application will not be signed in the sense of a traditional paper document, by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, you may still be required to provide a traditional signature at a later date.

  3. (Customer)

  4. Position 1

  5. Position 2

  6. Position 3

  7. Position 4

  8. Position 5

  9. Position 6

  10. Position 7

  11. Position 8

  12. Position 9

  13. Equal Opportunity Employer/Program

    Auxiliary aids and services are available upon request to individuals with disabilities. Relay: 1-800-735-2989 (TTY) / 711 (Voice).

  14. Leave This Blank:

  15. This field is not part of the form submission.