Students are to complete the top portion of the Application for Minor Work Permit and have a parent/guardian sign.  DO NOT OBTAIN THE SUPERINTENDENT SIGNATURE.  THE GUIDANCE OFFICE WILL OBTAIN THIS INFORMATION.

The student then takes the application to the employer and the employer fills out the Pledge of Employer section.  Box 1 - 4 must be filled out completely.  "Various" is not acceptable.  Specific hours, days, starting time and quitting time need to be completed.

The student is required to obtain a Physician's physical.  Physicals are good for one year.  If you have had a physical within one year, you may obtain a copy of it and attach it to the Application for Minor Work Permit.  Once everything has been completed you must submit these forms to the high school guidance office for processing.  There is a one day turnaround time.  Students must then come back to guidance, sign the Work Permit and take it to their new employer. 

If you have any question, please see Mrs. Davidson in the high school guidance office or email her at davidsonkaren@lakelocal.org.  The phone number for the high school guidance office is 330-877-4285.

APPLICATION FOR MINOR WORK PERMIT

Work Permit Form.pdf

PHYSICIAN'S CERTIFICATE 

Physician Work Permit Form.pdf