Work Permit Application Instructions:

Print work permit application. The original application with original signatures must be turned in to the school; not faxed or emailed.

STUDENT: complete the Student section

• Print information so we can read it.

• Social Security number MUST be filled out

• Home phone number is the Parent/Guardian’s phone number; not student’s

PARENT/GUARDIAN: Parent/guardian must sign and date in their section

EMPLOYER: Both sections must be filled out by the EMPLOYER, not student.

• Information must be legible so that we can read it.

• Employer must sign and date.

After all the above is completed, email Ms. Cyndie Meagher that you have a work permit application that needs to be processed (meagherc@esuhsd.org).