NCASD Student Work Permit Application
Please complete if you are interested in your student receiving a work permit. After completing, your application will be reviewed for approval. You will be contacted with the status of your application. Students must be 14 or older to apply for a permit.
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Email *
Student Last Name *
Student First Name *
Parent/Guardian Phone Number *
Current Address *
Student Birthdate *
MM
/
DD
/
YYYY
CITY Student was born in *
STATE Student Was Born In *
COUNTY Student Was Born In *
Parent/Guardian Last Name *
Parent/Guardian First Name *
I understand that submitting this form does not automatically mean that my student will receive a work permit. I will be contacted by telephone when approved. The person completing this form is the students parent/guardian. *
If my student's permit is approved, I understand that both the PARENT/GUARDIAN and STUDENT must come to pick up the permit. Items that must be present when picking up permit: 1. Birth Certificate 2. Parent/Guardian Driver's LicenseĀ  *
Required
A copy of your responses will be emailed to the address you provided.
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