Event Name: www.rcsdk12.org

Requirements for a Work Permit

Students who are interested in acquiring working papers must submit an Application for Employment Certificate. Please follow the instructions below: 

1.     Part I (Parental Consent) of Application for Employment Certificate

Complete the following:

  • Date
  • Student Name (Applicant)
  • Age
  • Home Address
  • Check box that indicates type of certificate requested
  • Parent/Guardian Signature

Download > Application for Employment Certificate

*The student must be present to sign the work permit when it is issued. The legal guardian
does not need to be present, but must have signed Part I of the application.*

2.     Part II (Evidence of Age)

Bring one of the following to document proof of age:
  • Birth Certificate or Baptism Record
  • Driver's License
  • Passport
  • Permanent Resident Card
  • School Record
  • State Issued Photo ID

3.     Part III (Certificate of Physical Fitness)

  • Must be completed by school nurse or physician

Download > Physical Fitness Certificate

*If student had a current sports physical at school, the school nurse may complete the physical form OR the student must have a doctor's office complete a physical certificate or a note on doctor's stationery indicating proof of a physical exam within one year preceding the application. (Exception: Limited Student Permits require a physical exam every 6 months.)*

When all the information has been completed, bring the application along with proof of age to:

Rochester City School District
Student Records Department
175 Martin Street Room 116
Rochester, NY 14605
Hours of Operation
Work Permit Counter Hours:
Monday – Friday: 12:00 - 4:45 PM
If you have questions, please call 585-262-8523.