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Jefferson Area Local School District

Work Permit Application

Work Permit Application

  • Print Application Form (see below)
  • Fill out front and back of the application
    Top Section - Student
    Bottom Section - Employer
    Back - Signed by a doctor or if student has a current physical on file at the school, contact the athletic director to have a copy sent to the high school office
  • Once application is completely filled out, bring to the high school office with student’s driver's license, temps or birth certificate
  • The office will process the work permit, which may take up to 24 hours to process. The student will need to sign and pick up the work permit once completed