Instructions for Obtaining a Work Permit
During the school year, forms can be returned to:
Peggy Drexler or Melissa Koetzle in Counseling College and Career Center.
During the Summer forms can be returned to:
200 Alcott Rd.
Rochester, NY 14626
Complete Part I (Parental Consent)
- Applicant Name
- Parent/Guardian Signature
Complete Part II (Evidence of Age)
Bring with you the following
(copies are acceptable)
- Proof of Age (Birth Certificate)
- Driver’s License or Learner Permit
Complete Part III (Certificate of Physical)
- Must be completed by school nurse or physician