Work Permit Instructions

  • Work Permits are issued by students home school during the school year. 

    During the Summer completed forms can be returned to :
    Community Education 
    200 Alcott Rd. (use entrance #3)
    Rochester, NY 14626
    Complete Part I (Parental Consent)

    • Date
    • Applicant Name
    • Age
    • Address
    • *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*

Work Permit Forms