Work Permit

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Work Permit

West Carrollton Middle School
Building Photo2013828111834352_image.gif
424 E. Main Street
West Carrollton, OH 45449
Phone: 937-859-5121 ext 7700
Fax: 937-859-2780

Work Permit

Click on the link below to open a printer-friendly copy of the “Application for Minor Work Permit”.

Application for Minor Work Permit (PDF)

Please note the following:

  • Students are required to complete the “Student/Applicant Information” section. This section requires a parent/guardian signature.
  • The potential employer should completely fill in the “Pledge of Employer” section, including boxes 1-4.
  • The student is required to obtain a Physician’s physical, valid for one year. The “Physician’s Approval” portion of the application must be completed by the Physician who conducted the student’s exam.
  • Once all these are complete, the student will bring the application to our Board of Education Offices, located at 430 E. Pease Ave. in West Carrollton, to obtain the Superintendent’s signature, completing the application.
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