1. Student/Application Information must be completed and signed by parent/guardian.
2. Pledge of Employer must be filled out completely and signed by the employer. Please by sure they include complete address and zip code and their tax-exempt number. We also need the number of days per week, hours per day, starting time and quitting time. We need this information so that the work permit can be processed and send electronically to the state of Ohio work permit department.
3. Physician's Certificate must be filled out by your physician to show that you have had a physical within the last year. If you have had a physical for athletics, you can obtain a copy of your physical form from the athletic office.
PLEASE RETURN THE COMPLETED FORM TO THE HIGH SCHOOL MAIN OFFICE ALONG WITH A COPY OF YOUR BIRTH CERTIFICATE OR DRIVER'S LICENSE. IN THE SUMMER, YOU MUST TAKE THE COMPLETED FORM TO THE DISTRICT OFFICE.