{"id":32850,"date":"2021-07-07T19:37:23","date_gmt":"2021-07-07T19:37:23","guid":{"rendered":"https:\/\/kdc1000.wpengine.com\/?post_type=program&#038;p=32850"},"modified":"2021-09-01T21:14:22","modified_gmt":"2021-09-01T21:14:22","slug":"my-jobsearchplanform","status":"publish","type":"program","link":"https:\/\/www.kansascommerce.gov\/ja\/program\/workforce-services\/my-jobsearchplanform\/","title":{"rendered":"\u79c1\u306e\u518d\u5c31\u8077\u6d3b\u52d5\u8a08\u753b\u66f8"},"content":{"rendered":"                <div class=\"hero-block hero-block--subpage  \" >\n\n        <div class=\"breadcrumb_wrapper\">\n                                                <a href=\"https:\/\/www.kansascommerce.gov\">Home<\/a> \/\n                                                                <a href=\"https:\/\/www.kansascommerce.gov\/ja\/programs-services\/\">Programs &#038; Services<\/a> \/\n                                                                <a href=\"https:\/\/www.kansascommerce.gov\/ja\/program\/workforce-services\/\">Workforce Services<\/a> \/\n                                                                <span>My Reemployment Job Search Plan Form<\/span>\n                                    <\/div>\n\n        <div class=\"hero-img\" style=\"\n                            background-image: url(https:\/\/www.kansascommerce.gov\/wp-content\/uploads\/2021\/07\/IMG_7178c2-scaled.jpg);                                            \"><\/div>\n        <div class=\"container h-100\">\n            <div class=\"row align-items-center justify-content-center h-100\">\n                <div class=\"col-12 content\">\n                    <div>\n\n<h1 class=\"wp-block-heading\" id=\"h-my-reemploymentjob-search-plan-form\">My Reemployment<br>Job Search Plan Form<\/h1>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-complete-your-form-online\">Complete your form online<\/h5>\n\n<\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n            <\/div>\n    \n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:15%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_85' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>Any questions regarding this program should be directed to <b>KANSAS<\/b>WORKS.com Live Chat. For additional support, contact your local Workforce Center at 877-509-6757.\r\n<br><br>\r\n<i>Submit this information only ONCE.<\/i><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_85'  action='\/ja\/wp-json\/wp\/v2\/program\/32850' data-formid='85' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_85' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_85_1\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d5f4deff\" data-field-span=\"12\"><h3 class=\"gsection_title\">My Reemployment Plan<\/h3><div class='gsection_description' id='gfield_description_85_1'>Job Search Plan Form<\/div><\/div><fieldset id=\"field_85_2\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ad54a116\" data-field-span=\"12\"><legend id='gfield_label_85_2' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Claimant Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_85_2'>\n                            \n                            <span id='input_85_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_85_2_3' value=''   aria-required='true'     aria-labelledby=\"input_85_2_3_label gfield_label_85_2\"\/>\n                                                    <label for='input_85_2_3' id='input_85_2_3_label' class='gform-field-label gform-field-label--type-sub '>\u540d<\/label>\n                                                <\/span>\n                            <span id='input_85_2_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.4' id='input_85_2_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_85_2_4' id='input_85_2_4_label' class='gform-field-label gform-field-label--type-sub '>Middle Initial<\/label>\n                                                <\/span>\n                            <span id='input_85_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_85_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_85_2_6' id='input_85_2_6_label' class='gform-field-label gform-field-label--type-sub '>\u59d3<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_85_3\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"fc62f037\" data-field-span=\"12\"><label id='gfield_label_85_3' class='gfield_label gform-field-label' for='input_85_3'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_85_3' type='email' value='' class='large'   placeholder='Enter the email address where you received the My Reemployment Plan notification' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_85_4\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"55080f45\" data-field-span=\"12\"><label id='gfield_label_85_4' class='gfield_label gform-field-label' for='input_85_4'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_85_4' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><fieldset id=\"field_85_76\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"675818ab\" data-field-span=\"12\"><legend id='gfield_label_85_76' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Did you receive a notification from the Kansas Department of Labor that you have been disqualified from receiving benefits due to failure to complete My Reemployment Plan requirements?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_76'>\n\t\t\t<div class='gchoice gchoice_85_76_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='Yes'  id='choice_85_76_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_85_76_0 gfield_label_85_76\"   \/>\n\t\t\t\t\t<label for='choice_85_76_0' id='label_85_76_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_76_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='No'  id='choice_85_76_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_76_1' id='label_85_76_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_85_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"4549ede3\" data-field-span=\"12\"><legend id='gfield_label_85_65' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you a union member who secures work only through a union?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_65'>\n\t\t\t<div class='gchoice gchoice_85_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='Yes'  id='choice_85_65_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_85_65_0 gfield_label_85_65\"   \/>\n\t\t\t\t\t<label for='choice_85_65_0' id='label_85_65_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='No'  id='choice_85_65_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_65_1' id='label_85_65_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_85_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"62520294\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_85_56\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"09625ccd\" data-field-span=\"12\"><label id='gfield_label_85_56' class='gfield_label gform-field-label' for='input_85_56'><span class='gform-field-label__text'>Union Hall Hiring #<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_85_56' type='text' value='' class='large'  aria-describedby=\"gfield_description_85_56\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_85_56'>Example: IBEW Local 124<\/div><\/div><div id=\"field_85_70\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"5e299ffe\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_85_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"7385c2cd\" data-field-span=\"12\"><legend id='gfield_label_85_66' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you returning to work within 4 weeks?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_66'>\n\t\t\t<div class='gchoice gchoice_85_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Yes'  id='choice_85_66_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_85_66_0 gfield_label_85_66\"   \/>\n\t\t\t\t\t<label for='choice_85_66_0' id='label_85_66_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='No'  id='choice_85_66_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_66_1' id='label_85_66_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_85_69\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"da7933d2\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_85_64\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"cba4f1ff\" data-field-span=\"12\"> If so, provide the employer&#8217;s name, job position, and start date. You may skip to the Certification Section and submit this form.<\/div><fieldset id=\"field_85_7\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b7b64dae\" data-field-span=\"12\"><legend id='gfield_label_85_7' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Employer Information<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name has_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_85_7'>\n                            \n                            \n                            \n                            <span id='input_85_7_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.6' id='input_85_7_6' value=''   aria-required='false'     aria-labelledby=\"input_85_7_6_label gfield_label_85_7\"\/>\n                                                    <label for='input_85_7_6' id='input_85_7_6_label' class='gform-field-label gform-field-label--type-sub '>Employer<\/label>\n                                                <\/span>\n                            <span id='input_85_7_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_7.8' id='input_85_7_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_85_7_8' id='input_85_7_8_label' class='gform-field-label gform-field-label--type-sub '>Position<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><div id=\"field_85_8\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b327c823\" data-field-span=\"12\"><label id='gfield_label_85_8' class='gfield_label gform-field-label' for='input_85_8'><span class='gform-field-label__text'>Start Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_85_8'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_8'\n\t\t\t\t\tvalue=''\n\t\t\t\t\taria-describedby=\"gfield_description_85_8\" \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_85_8' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_85_8' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_85_8' aria-label='Start Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><div class='gfield_description' id='gfield_description_85_8'>Only required if you are returning to work within the next 4 weeks.<\/div><\/div><div id=\"field_85_61\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"964627f0\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_85_58\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden gfield--choice-align-vertical\" data-group-id=\"4fe685f1\" data-field-span=\"12\"><legend id='gfield_label_85_58' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Are you self-employed AND receiving Pandemic Unemployment Assistance (PUA) benefits? If Yes, please fill out the rest of the form to the best of your ability.<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_85_58'><div class='gchoice gchoice_85_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='Yes'  id='choice_85_58_1'   aria-describedby=\"gfield_description_85_58\" aria-labelledby=\"label_85_58_1 gfield_label_85_58\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_85_58_1' id='label_85_58_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_85_58_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.2' type='checkbox'  value='No'  id='choice_85_58_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_85_58_2' id='label_85_58_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_85_58'>If you are receiving regular UI benefits please complete this form in its entirety\n<\/div><\/fieldset><fieldset id=\"field_85_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"cbe27f3b\" data-field-span=\"12\"><legend id='gfield_label_85_71' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you self-employed AND receiving Pandemic Unemployment Assistance (PUA) benefits? If Yes, please fill out the rest of the form to the best of your ability.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_71'>\n\t\t\t<div class='gchoice gchoice_85_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Yes'  id='choice_85_71_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_85_71\" aria-labelledby=\"label_85_71_0 gfield_label_85_71\"   \/>\n\t\t\t\t\t<label for='choice_85_71_0' id='label_85_71_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='No'  id='choice_85_71_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_71_1' id='label_85_71_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_85_71'>If you are receiving regular UI benefits please complete this form in its entirety<\/div><\/fieldset><div id=\"field_85_10\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"103ad9c0\" data-field-span=\"12\"><\/div><div id=\"field_85_9\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"2dd6acf2\" data-field-span=\"12\"><h3 class=\"gsection_title\">Job Search Plan<\/h3><div class='gsection_description' id='gfield_description_85_9'>FAILURE to submit this form in  seven (7) days may result in a DENIAL of BENEFITS and possible overpayment of benefits.<\/div><\/div><div id=\"field_85_11\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"87ad4f1a\" data-field-span=\"12\"><h3 class=\"gsection_title\">Why:<\/h3><div class='gsection_description' id='gfield_description_85_11'>This form is meant to get you thinking about your job search plan. Studies show that workers who transition from layoff to their next job the fastest understand the importance of making    themselves a good match for their next employer. Being a good match means understanding the interests, skills and values that you possess that will get you hired.<\/div><\/div><div id=\"field_85_15\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"5749fac4\" data-field-span=\"12\"><h4>O*NET INTEREST PROFILER<h4>\n\n<p style='font-size: 18px;'>The O*NET Interest Profiler can help you find out what your interests are and how they relate to the world of work, and what kinds of careers you might want to explore.<\/p><p style='font-size: 18px;'>Go to  <a href=\"https:\/\/www.mynextmove.org\/explore\/ip\" target=\"_blank\">https:\/\/www.mynextmove.org\/explore\/ip<\/a> and follow the directions to get your O*NET Interest Profiler results. Enter your results below. If you need help, contact your local <a href=\"https:\/\/www.kansasworks.com\/contact\" target=\"_blank\">Workforce Center<\/a>.<\/p><\/div><div id=\"field_85_46\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d52eb603\" data-field-span=\"12\"><h4>O*NET INTEREST PROFILER RESULTS:<h4><\/div><div id=\"field_85_14\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3a2febf9\" data-field-span=\"12\"><label id='gfield_label_85_14' class='gfield_label gform-field-label' for='input_85_14'><span class='gform-field-label__text'>My top Job Interests:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_85_14' class='large gfield_select'  aria-describedby=\"gfield_description_85_14\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Select One' selected='selected'>Select One<\/option><option value='Realistic' >Realistic<\/option><option value='Investigative' >Investigative<\/option><option value='Artistic' >Artistic<\/option><option value='Social' >Social<\/option><option value='Enterprising' >Enterprising<\/option><option value='Conventional' >Conventional<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_85_14'>Number 1<\/div><\/div><div id=\"field_85_18\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1ea8523b\" data-field-span=\"12\"><label id='gfield_label_85_18' class='gfield_label gform-field-label' for='input_85_18'><span class='gform-field-label__text'>My top Job Interests:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_85_18' class='large gfield_select'  aria-describedby=\"gfield_description_85_18\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Select One' >Select One<\/option><option value='Realistic' >Realistic<\/option><option value='Investigative' >Investigative<\/option><option value='Artistic' >Artistic<\/option><option value='Social' >Social<\/option><option value='Enterprising' >Enterprising<\/option><option value='Conventional' >Conventional<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_85_18'>Number 2<\/div><\/div><div id=\"field_85_17\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0d422438\" data-field-span=\"12\"><label id='gfield_label_85_17' class='gfield_label gform-field-label' for='input_85_17'><span class='gform-field-label__text'>My top Job Interests:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_85_17' class='large gfield_select'  aria-describedby=\"gfield_description_85_17\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Select One' >Select One<\/option><option value='Realistic' >Realistic<\/option><option value='Investigative' >Investigative<\/option><option value='Artistic' >Artistic<\/option><option value='Social' >Social<\/option><option value='Enterprising' >Enterprising<\/option><option value='Conventional' >Conventional<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_85_17'>Number 3<\/div><\/div><div id=\"field_85_19\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8954d190\" data-field-span=\"12\"><label id='gfield_label_85_19' class='gfield_label gform-field-label' for='input_85_19'><span class='gform-field-label__text'>My top careers that fit my interests and preparation level:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_85_19' type='text' value='' class='large'  aria-describedby=\"gfield_description_85_19\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_85_19'>Career idea #1<\/div><\/div><div id=\"field_85_21\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"66d6e1d8\" data-field-span=\"12\"><label id='gfield_label_85_21' class='gfield_label gform-field-label' for='input_85_21'><span class='gform-field-label__text'>My top careers that fit my interests and preparation level:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_85_21' type='text' value='' class='large'  aria-describedby=\"gfield_description_85_21\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_85_21'>Career idea #2<\/div><\/div><div id=\"field_85_20\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7d068fbd\" data-field-span=\"12\"><label id='gfield_label_85_20' class='gfield_label gform-field-label' for='input_85_20'><span class='gform-field-label__text'>My top careers that fit my interests and preparation level:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_85_20' type='text' value='' class='large'  aria-describedby=\"gfield_description_85_20\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_85_20'>Career idea #3<\/div><\/div><div id=\"field_85_23\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"724f23ac\" data-field-span=\"12\"><hr><h4>Did you know:  People who make and stick with a Job Search Plan are   much more likely to  get back to  work sooner.<h4><hr><\/div><div id=\"field_85_24\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4d22f2a0\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_85_27\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b019c1e0\" data-field-span=\"12\"><h2>Detailed Job Search Plan<h2><\/div><div id=\"field_85_47\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e57527ab\" data-field-span=\"12\"><h3 class=\"gsection_title\">Job Search Workbook<\/h3><div class='gsection_description' id='gfield_description_85_47'><li>This Job Search workbook will help you define and market your skills, as well as provide helpful information to assist you in your job search.  <a href=\"https:\/\/www.kansascommerce.gov\/wp-content\/uploads\/2021\/06\/job-search-workbook-english.pdf\" target=\"_blank\" rel=\"external\" hreflang=\"en\" type=\"text\/html\">\nWorkbook PDF\n<\/a><\/p><\/div><\/div><div id=\"field_85_49\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"26cc19b4\" data-field-span=\"12\"><h3 class=\"gsection_title\">R\u00e9sum\u00e9<\/h3><div class='gsection_description' id='gfield_description_85_49'><li>An updated r\u00e9sum\u00e9 that has been reviewed by a peer or workforce professional will be your first impression. Don\u2019t let it stand out for the wrong reasons.<\/div><\/div><div id=\"field_85_50\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"26d12aa2\" data-field-span=\"12\"><h3 class=\"gsection_title\">Social Networking<\/h3><div class='gsection_description' id='gfield_description_85_50'><li>Facebook, Twitter and other forms of social media are often checked by employers. Make your profile attractive to businesses looking to hire.<br><li>Use social networking to your advantage. Promote your professionalism and skills, not your weekend.<\/div><\/div><div id=\"field_85_51\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"a2dfc152\" data-field-span=\"12\"><h3 class=\"gsection_title\">Make a timeline for getting a job.<\/h3><div class='gsection_description' id='gfield_description_85_51'><li>Unemployment Insurance benefits last on average less than 13 weeks. Many people get a    job within 10 weeks because they start looking right away.<\/div><\/div><div id=\"field_85_52\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"685e3ef7\" data-field-span=\"12\"><h3 class=\"gsection_title\">Network and Apply<\/h3><div class='gsection_description' id='gfield_description_85_52'>\n<li>Engaging the job market is more than just applying. Target your applications to employers looking to hire that fit your skill set and connections.<\/div><\/div><div id=\"field_85_67\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"703bfbb5\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_85_48\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"06e0a061\" data-field-span=\"12\"><h2>Job Search To-Do List<h2><\/div><div id=\"field_85_28\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd8af090\" data-field-span=\"12\"><h3 class=\"gsection_title\">Work Search Prep<\/h3><div class='gsection_description' id='gfield_description_85_28'>R\u00e9sum\u00e9, Interview Skills, Social Media Review<\/div><\/div><fieldset id=\"field_85_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gfield--choice-align-vertical\" data-group-id=\"7b44be44\" data-field-span=\"12\"><legend id='gfield_label_85_29' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>I have uploaded or created my r\u00e9sum\u00e9 in KANSASWORKS.com<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_85_29'><div class='gchoice gchoice_85_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Yes'  id='choice_85_29_1'    aria-labelledby=\"label_85_29_1 gfield_label_85_29\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_85_29_1' id='label_85_29_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_85_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='No'  id='choice_85_29_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_85_29_2' id='label_85_29_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_85_75\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"af3e750e\" data-field-span=\"12\"><legend id='gfield_label_85_75' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I have uploaded or created my r\u00e9sum\u00e9 in KANSASWORKS.com<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_75'>\n\t\t\t<div class='gchoice gchoice_85_75_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='Yes'  id='choice_85_75_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_85_75_0 gfield_label_85_75\"   \/>\n\t\t\t\t\t<label for='choice_85_75_0' id='label_85_75_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_75_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='No'  id='choice_85_75_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_75_1' id='label_85_75_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_85_31\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"6c551b51\" data-field-span=\"6\"><label id='gfield_label_85_31' class='gfield_label gform-field-label' for='input_85_31'><span class='gform-field-label__text'>I practiced\/will practice interviewing skills with&#8230;<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_85_31' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_85_32\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"6c551b51\" data-field-span=\"6\"><label id='gfield_label_85_32' class='gfield_label gform-field-label' for='input_85_32'><span class='gform-field-label__text'>| by\/on<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_85_32'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_32'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_85_32' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_85_32' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_85_32' aria-label='| by\/on: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_85_30\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gfield--choice-align-vertical\" data-group-id=\"56feafce\" data-field-span=\"12\"><legend id='gfield_label_85_30' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>I have reviewed my social media so that it will benefit my job search.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_85_30'><div class='gchoice gchoice_85_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Yes'  id='choice_85_30_1'    aria-labelledby=\"label_85_30_1 gfield_label_85_30\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_85_30_1' id='label_85_30_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_85_30_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.2' type='checkbox'  value='No'  id='choice_85_30_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_85_30_2' id='label_85_30_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_85_74\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"707ea9f9\" data-field-span=\"12\"><legend id='gfield_label_85_74' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I have reviewed my social media so that it will benefit my job search.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_74'>\n\t\t\t<div class='gchoice gchoice_85_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='Yes'  id='choice_85_74_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_85_74_0 gfield_label_85_74\"   \/>\n\t\t\t\t\t<label for='choice_85_74_0' id='label_85_74_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='No'  id='choice_85_74_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_74_1' id='label_85_74_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_85_33\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0371ac39\" data-field-span=\"12\"><h3 class=\"gsection_title\">The Plan<\/h3><\/div><fieldset id=\"field_85_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gfield--choice-align-vertical\" data-group-id=\"dda0c266\" data-field-span=\"4\"><legend id='gfield_label_85_34' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>I am looking for work as directed by KDOL and I am keeping a job search log.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_85_34'><div class='gchoice gchoice_85_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Yes'  id='choice_85_34_1'    aria-labelledby=\"label_85_34_1 gfield_label_85_34\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_85_34_1' id='label_85_34_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_85_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='No'  id='choice_85_34_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_85_34_2' id='label_85_34_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_85_73\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"dda0c266\" data-field-span=\"4\"><legend id='gfield_label_85_73' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I am looking for work as directed by KDOL and I am keeping a job search log.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_73'>\n\t\t\t<div class='gchoice gchoice_85_73_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='Yes'  id='choice_85_73_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_85_73_0 gfield_label_85_73\"   \/>\n\t\t\t\t\t<label for='choice_85_73_0' id='label_85_73_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_73_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='No'  id='choice_85_73_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_73_1' id='label_85_73_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_85_35\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dda0c266\" data-field-span=\"4\"><p><a href=\"https:\/\/www.getkansasbenefits.gov\/Files\/PDF\/kben987.pdf\" target=\"_blank\" rel=\"external\" hreflang=\"en\" type=\"text\/html\"> Download Job Search Log (PDF) <\/a><\/p><\/div><div id=\"field_85_36\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3a532538\" data-field-span=\"12\"><label id='gfield_label_85_36' class='gfield_label gform-field-label' for='input_85_36'><span class='gform-field-label__text'>Target Start Date for my new job is&#8230;<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_85_36'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_36'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_85_36' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_85_36' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_85_36' aria-label='Target Start Date for my new job is...: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_85_37\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1a9bcf0a\" data-field-span=\"12\"><h3 class=\"gsection_title\">Follow Up &#8211; If   needed, reevaluate within four weeks.<\/h3><\/div><fieldset id=\"field_85_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gfield--choice-align-vertical\" data-group-id=\"e56611cc\" data-field-span=\"12\"><legend id='gfield_label_85_38' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>If I need help with my job search, I will contact my local Workforce Center for help.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_85_38'><div class='gchoice gchoice_85_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='Yes'  id='choice_85_38_1'    aria-labelledby=\"label_85_38_1 gfield_label_85_38\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_85_38_1' id='label_85_38_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_85_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='No'  id='choice_85_38_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_85_38_2' id='label_85_38_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_85_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"f7883294\" data-field-span=\"12\"><legend id='gfield_label_85_72' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>If I need help with my job search, I will contact my local Workforce Center for help.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_85_72'>\n\t\t\t<div class='gchoice gchoice_85_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Yes'  id='choice_85_72_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_85_72_0 gfield_label_85_72\"   \/>\n\t\t\t\t\t<label for='choice_85_72_0' id='label_85_72_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_85_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='No'  id='choice_85_72_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_85_72_1' id='label_85_72_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_85_60\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e8401f41\" data-field-span=\"12\"><h3 class=\"gsection_title\">Did you know this is Step Two in the My Reemployment Plan?<\/h3><div class='gsection_description' id='gfield_description_85_60'>Remember to upload or create your resume in KANSASWORKS.com<\/div><\/div><div id=\"field_85_57\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"fbd270a7\" data-field-span=\"12\"><h3 class=\"gsection_title\">Certification Section<\/h3><\/div><div id=\"field_85_39\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"62f88a8b\" data-field-span=\"12\"><\/div><fieldset id=\"field_85_40\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"592a5f8c\" data-field-span=\"12\"><legend id='gfield_label_85_40' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent (Check Box)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_40.1' id='input_85_40_1' type='checkbox' value='1'   aria-labelledby=\"input_85_40_1_label gfield_label_85_40\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_85_40_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_85_40_1' ><span class='gform-field-label__text'>I certify that I am a Union member OR have completed the Skills Profiler either online or at a Workforce Center (unless exempt). I acknowledge that falsifying this form may lead to an interruption of unemployment benefits.<\/span><\/label><input type='hidden' name='input_40.2' value='I certify that I am a Union member OR have completed the Skills Profiler either online or at a Workforce Center (unless exempt). I acknowledge that falsifying this form may lead to an interruption of unemployment benefits.' class='gform_hidden' \/><input type='hidden' name='input_40.3' value='10' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_85_42\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd3e0b89\" data-field-span=\"6\"><label id='gfield_label_85_42' class='gfield_label gform-field-label' for='input_85_42'><span class='gform-field-label__text'>Signature:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_85_42' type='text' value='' class='large'  aria-describedby=\"gfield_description_85_42\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_85_42'>TYPE FULL NAME HERE<\/div><\/div><fieldset id=\"field_85_43\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd3e0b89\" data-field-span=\"6\"><legend id='gfield_label_85_43' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u5fc5\u9808)<\/span><\/span><\/legend><div id='input_85_43' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_85_43_1_container'>\n                                        <input type='number' maxlength='2' name='input_43[]' id='input_85_43_1' value=''   aria-required='true'   aria-labelledby=\"input_85_43_1_label gfield_label_85_43\" aria-describedby=\"gfield_description_85_43\" placeholder='\u5206' min='1' max='12' step='1'\/>\n                                        <label for='input_85_43_1' id='input_85_43_1_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>\u6708<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_85_43_2_container'>\n                                        <input type='number' maxlength='2' name='input_43[]' id='input_85_43_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_85_43_2' id='input_85_43_2_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>\u65e5<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container 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