INSTRUCTIONS FOR OBTAINING WORKING CERTIFICATE
FILLABLE PDF APPLICATION FOR EMPLOYMENT ATTACHED BELOW
1. PART I – PARENTAL CONSENT: Applicant fills date, his/her name, age and home address, including zip code. If student is 14 or 15 years of age, please check the first box (Nonfactory Employment Certificate). If student is 16 or 17 years of age, please check the second box (Student General Employment Certificate).
Parent or Guardian MUST sign in space provided.
2. PART II – EVIDENCE OF AGE: Please fill in Date of Birth only in PART II.
A doctor’s note/letter stating student is physically fit to work MUST accompany application and it MUST be on the doctor’s letterhead. Student can download a picture of the note/letter and attach it with the application.
**JUNIOR AND SENIOR NURSING STUDENTS should have a copy of their physicals. Please attach the page that has the information stating student is able to work along with the working certificate application**
Once the application is filled out and the doctor’s note/letter is downloaded, please email them to: [email protected]. The working certificate will then be mailed to the address in PART I and when it is received, the student must sign it. If you have any questions, please email Ms. Poveromo at the email above.