Click on the links below to view open a printer-friendly copy of the Application for Minor Work Permit and Physician's Approval form.

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 take the application to the High School office, located at 5833 Student Street in West Carrollton to complete the application.

West Carrollton Middle School