TAP Affidavit of Employment Status &amp; Job Search Activity

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Full Name: REQUIRED Please fill out this field. Please enter valid data.
Former Place of Employment: REQUIRED Please fill out this field. Please enter valid data.
Three job search activities are required during each reporting period. I have completed the below (complete at least three sections):
Job Search Time Period REQUIRED Please fill out this field.
----------------------------------------------------------------------------------------------------------------------- Success Associates Session
Date of Call/Online Meeting/In-Person Meeting: Please enter a date.
----------------------------------------------------------------------------------------------------------------------- Networking
Date of Meeting: Please enter a date.
Name(s) of Individuals/Networking Group Met With: Please enter valid data.
----------------------------------------------------------------------------------------------------------------------- Job Search
Name of Organization: REQUIRED Please fill out this field. Please enter valid data.
Address: REQUIRED Please fill out this field. Please enter valid data.
Telephone: REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Contact Person: REQUIRED Please fill out this field. Please enter valid data.
Position applied for: REQUIRED Please fill out this field. Please enter valid data.
Date of application: REQUIRED Please fill out this field. Please enter a date.
Outcome of application: REQUIRED Please fill out this field. Please enter valid data.
Type of Job Search: REQUIRED Resume sent Interview In-Person Application Online Submission Please fill out this field.
----------------------------------------------------------------------------------------------------------------------- Job Search
Name of Organization: Please enter valid data.
Address: Please enter valid data.
Telephone: Maximum 20 characters Please enter a phone number.
Contact Person: Please enter valid data.
Position applied for: Please enter valid data.
Date of application: Please enter a date.
Outcome of application: Please enter valid data.
Type of Job Search: Resume sent Interview In-Person Application Online Submission
----------------------------------------------------------------------------------------------------------------------- Job Search
Name of Organization: Please enter valid data.
Address: Please enter valid data.
Telephone: Maximum 20 characters Please enter a phone number.
Contact Person: Please enter valid data.
Position applied for: Please enter valid data.
Date of application: Please enter a date.
Outcome of application: Please enter valid data.
Type of Job Search: Resume sent Interview In-Person Application Online Submission
-----------------------------------------------------------------------------------------------------------------------
CERTIFICATION OF EMPLOYMENT & PAY STATUS
This affidavit covers the two-week period typically ending on the Thursday prior to the TAP pay date. Please check all options below that apply to you. REQUIRED I certify that I am unemployed, capable of working, available for work and actively seeking work. I hereby authorize the Archdiocese of Boston to verify my employment search activity. I certify that during the period covered by this affidavit, I have earned the below. I understand, per the TAP Plan document, any wages earned in excess of 1/3 of my bi-weekly TAP benefits may be offset against my TAP payments. Please fill out this field.
Please include your Gross Wages and Employer Name: Please enter valid data.
-----------------------------------------------------------------------------------------------------------------------
Signature REQUIRED Please fill out this field. Please enter valid data.

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