• 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.