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In order to receive a work permit please complete & sign this form and have your potential employer complete & sign the bottom portion. Please return the signed form along with the following documents AFTER you have secured a job:  \n1) Copy of Birth Certificate  \n2) Copy of Social Security Card  \n3) Letter of Intent from Employer or the Work Permit Application form signed by all parties  \n4) Certificate of Physical Fitness (unless there is a current physical on file w/the nurse)  \nFull Name:   SS\\#  ID \\#    \nAddress:    \nParent/Guardian Name(s):   Phone \\#:    \nI give permission for   to work at the business listed below.  \nParent/Guardian Signature:   Date:    \nMinor Signature:   Date:    \nTo be completed by Employer:  \nCompany Name:    \nAddress:    \nContact Name:   Phone:    \nOccupation of Minor:    \nNature of Industry:    \nIs this summer work only?   Is liquor served on premise?    \nNumber of hours to work/day:   Number of days/week:  (Not to exceed 3 hours/day on school days and not to exceed 8 hours/day and/or 6 days/week when school in NOT is session)  \nEmployer Signature:   Date:","cbCaik1OmWwCsZbH","https://ap.wps.com/l/cbCaik1OmWwCsZbH","pdf",45914,"English","# Minor Eligibility Instructions\n## Required Documents\n## Minor and Guardian Information\n## Employer Completion Section","[{\"question\":\"Who must obtain a work permit for under-16 employment?\",\"answer\":\"Minors under the age of 16 MUST obtain a work permit before working.\"},{\"question\":\"What documents are required to return with the signed form?\",\"answer\":\"Return the signed form along with a copy of the birth certificate, a copy of the social security card, an employer letter of intent or the signed work permit application form, and a certificate of physical fitness (unless a current one is on file with the nurse).\"},{\"question\":\"What information does the employer need to provide on the form?\",\"answer\":\"The employer must provide company name and address, a contact name and phone, the minor’s occupation, the nature of the industry, whether it is summer work only, whether liquor is served on premises, and the minor’s scheduled number of hours per day and days per week, plus the employer signature and date.\"}]","Work Permit Application - Letter of Intent to Hire a Minor | PDF",1789825053]