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Work Permits

Applications for Employment Certificates
are available online at the link below
or in the
MHS Counseling Office.

MHS Students:

  • Get an Application for Employment Certificate from the Counseling Office or print one from the link below.
  • Fill out Part 1 and have a parent/guardian sign it.
  • Before returning to the Counseling Office, go to the School Nurse where Part 3 (Certificate of Physical Fitness - physical within 12 months verification) will be completed.***
  • Return the application to the Counseling Office.
  • The Counseling office will complete Part 2 (Evidence of Age).
  • A Counseling Office staff member will complete an Employment Certificate for you that you must sign in front of the staff member.

***During Summer months, the Nurse's office is not fully staffed.  When coming in to the Counseling office to complete the Employment Certificate process, please bring along a copy of the student's Certificate of Physical Fitness (physical form within 12 months), which is required for completion of the work permit. It is helpful to call first to make sure someone is in the office to greet you: 585-267-1660.

 All Other Students (Pittsford residents who are home schooled or attend private schools):

  • Get an Application for Employment Certificate from the Counseling Office or print one from the link below.
  • Fill out Part 1 and have a parent/guardian sign it.
  • Return the application to the Counseling Office.  You must provide proof of age and identity (Passport or Birth Certificate) and proof of having had a physical within the past 12 months.
  • A Counseling Office staff member will complete an Employment Certificate for you that you must sign in front of the staff member.

 Please Note:

  • The employer will keep the employment certificate until the employee leaves or turns 18.
  • If you lose your employment certificate, the Counseling Office can create a duplicate for you.
  • Child model and farm worker employment certificates are also available. 

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