Application for Work Permit
TO BE COMPLETED BY PARENT/GUARDIAN.  
Once application has been accepted, an appointment will be made available to you and sent via email.
Parent/Guardian MUST ACCOMPANY minor to the appointment. The in-person appointment will occur at the High School Main Office. Our office hours are Monday - Friday, from 8:00AM - 4:00PM.  Instructions will be included in the appointment email to follow.  Please allow 3-5 days for a response with your appointment date and time. *If your student already has a position and requires the permit prior to the scheduled appointment, please email sroam@nazarethasd.org and accommodations will be made.
**IF YOU HAVE ALREADY COMPLETED AN APPLICATION, BUT MISSED YOUR APPOINTMENT, PLEASE DO NOT COMPLETE ANOTHER APPLICATION, SIMPLY SEND AN EMAIL TO: sroam@nazarethasd.org AND YOUR APPOINTMENT WILL BE RESCHEDULED.
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Email *
Date of Application *
MM
/
DD
/
YYYY
First Name (of Minor ) *
Middle Name (of Minor) *
Last Name (of Minor) *
Sex *
Color of Hair *
Color of Eyes *
Any Physical Work Restrictions *
Street Address *
City *
State *
Zip Code *
Place of Birth  (Facility) *
City and State of Birth *
Date of Birth of Minor *
MM
/
DD
/
YYYY
Current Age of Minor *
Evidence of Age Accepted and filed. (Evidence is  required at time of physical signature) *
Name of Parent/Legal Guardian *
Email Address of Parent/Legal Guardian *
Submit
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