[PDF] DIRECTIONS FOR COMPLETION OF THE EMPLOYMENT PDF DIRECTIONS_FOR_COMPLETION_OF_THE_EMPLOYMENT_CERTIFICATE

Bellefield Avenue, Pittsburgh, PA 15213 COMPLETION OF WORK PERMIT APPLICATION: • SECTION A: Student should legibly PRINT NAME AND ADDRESS

APPLICATION FOR WORK PERMIT Date of application Certificate/Permit number PDE-4565 (1/13) Date issued A To be completed by the applicant Name of

[PDF] Work Permits

If you are between the ages of 14 – 17 and are seeking a job in Pennsylvania, you must complete form PDE-4565 (1/13) (APPLICATION FOR WORK PERMIT)

[PDF] APPLICATION FOR MINORS IN PERFORMANCES

For the employment of any minor under 18, in compliance with the Pennsylvania In applying for the Special Performance Permit, I certify that, to the best of my

[PDF] B To be completed by parent guardian or legal custodian in

APPLICATION FOR EMPLOYMENT CERTIFICATE is in observance The blue Transferable Work Permit given to minors above the age of sixteen must only be applied for once Commonwealth of Pennsylvania – Department of Education

[PDF] FAQ of the PA Child Labor Law

A: An application for a work permit can be obtained at your local school district The prospective employer must indicate on the application what type of work the

[PDF] DIRECTIONS FOR COMPLETION OF THE EMPLOYMENT

Bellefield Avenue, Pittsburgh, PA 15213 COMPLETION OF WORK PERMIT APPLICATION: • SECTION A: Student should legibly PRINT NAME AND ADDRESS

[PDF] Working Papers Application - Downingtown Area School District

The Pennsylvania Child Labor Law, Act 151 of 2012 resulted in changes to Work Permit Application All students between the ages of 14 and 17 are required by

[PDF] Work Permit Procedures - Big Spring School District

Superintendents and others in authority within Pennsylvania public schools must The Application for a Work Permit and the Work Permit forms that are to be

WHERE TO GET WORK PERMIT APPLICATIONS:

The Work permit Application is attached. Follow the steps below to complete the application:

One may also obtain the application by visiting

Work Permit Application (PDE-4565) or

by visiting the district"s web page at: %20Application.pdf or by calling the Student conservation Association at 4120325-1851 (Application for Employment Certificate or Transferable Work Permit) is available on the School District"s Web site. You will need Adobe Acrobat to download the application. An application also can be picked up by the student at the school office where the student attends OR by any person at the Pittsburgh Board of Public Education, 341 S. Bellefield

Avenue, Pittsburgh, PA 15213.

COMPLETION OF WORK PERMIT APPLICATION:

• SECTION A: Student should legibly PRINT NAME AND ADDRESS on form prior to giving to employer and physician to complete. • SECTION B: To be completed by parent*, guardian* or legal custodian* in the presence of the issuing officer at the time the permit application is presented for the work permit if application is taken to 341 S. Bellefield for issuance. • SECTION C: Must be completed by prospective employer. The employer must supply the number of hours the student will be working, name, address and telephone number of employer and signature of owner or manager. • SECTION D: Must be completed by examining physician, certified nurse practitioner, or certified registered nurse practitioner employed by the Board of Education, by the minor"s family physician or by a physician designated by the prospective employer. (The date of the physical can not be more than one year old.) (Back to Top)

ATTESTATION DOCUMENT:

*In lieu of their personal appearance such person responsible for the minor may execute a statement before a notary public or other person authorized to administer oaths attesting to the accuracy of the facts set forth in the application on a form prescribed by the Department of Education, said statement to be attached to the application. (Proof of age must still be presented to the issuing officer.) The Attestation Document is available on the School District"s Web site. You will need

Adobe Acrobat to download the document.

Students must have legal documentation of their date of birth with them to present to the issuing officer at the time of application for permit. (Transcript of birth certificate, baptismal certificate or transcript, passport, other documentary evidence, e.g. driver"s license or permit). IMPORTANT: After the application is FULLY COMPLETED (Sections A, B, C, & D): (IF SCHOOL IS IN SESSION) - CHECK WITH YOUR SCHOOL

COUNSELOR OR JOB PLACEMENT COORDINATOR TO HAVE

YOUR WORK PERMIT ISSUED.

OR: *Bring to: Pittsburgh Board of Education - Room 440

341 S. Bellefield Avenue

Pittsburgh, PA 15213

(All visitors must enter on the Bellefield side of the building) Days:

Monday through Friday

Hours:

8:00 a.m. - 4:00 p.m.

Please Call:

(412) 622-3952 for additional information *Parent must accompany student if Work Permit is issued at the Pittsburgh

Board of Education.

PLEASE READ THE ABOVE INSTRUCTIONS CAREFULLY SINCE INCOMPLETE WORK PERMIT APPLICATIONS WILL NOT BE PROCESSED - NO EXCEPTIONS!quotesdbs_dbs20.pdfusesText_26

[PDF] [PDF] DIRECTIONS FOR COMPLETION OF THE EMPLOYMENT

[PDF] Application for Work Permit - Pennsylvania Department of Education