Work Permit Instructions

  • Students are responsible for completing all of the yellow highlighted areas on both forms: 
     
    Permit-Certificate of Age Form B1-1 Work, (Word doc) (PDF)
     
    and Permit to Employ and Work,Form B1-4(Word doc) (PDF)
     
    Students are also responsible for getting their employers to complete the blue highlighted section before making an appointment to have the Work Permit forms (areas with red lettering) completed and signed by school personnel.
     
    *Due to the Social Distancing order, we are seeing everyone by appointment only.
    Thank you for your cooperation, be safe and healthy!
     

    Work Permit Instructions:

    • Students are responsible for completing all of the yellow highlighted areas on both forms
    • Students are also responsible for getting their employers to complete the blue highlighted section before making an appointment to have the Work Permit forms (areas with red lettering) completed and signed by school personnel. (PDFs)

     

    [The forms are essentially the same but Form 1 doesn’t have a section for an expiration date, which doesn’t make it a valid]

    Form 1: Work Permit Request Form

    • Students must fill this form before getting an official permit
    • Highlighted sections MUST be filled out

     

    Form 2: Official Work Permit

    • All sections must be signed/filled out before giving it to the student
    • Expiration date is set for 6/30/2021
    • Please make sure to add the permitted work hours (4hrs on school days, 8hrs non-school days, 20hrs weekly while school is in session, 40hrs weekly while school is not in session)

     

    Students should either contact the main office between 730a-330p to schedule a time to receive a signature, or contact Ms. Eva directly at teva@juhsd.net.

Filled out Work Permit