Requirements for a Work Permit

  • Beginning with the 2018-2019 School Year Work Permits Can Be Obtained At Any Rochester City School District Secondary School

     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 your school counselor.