Ligonier Valley High School » Work Permit Request Form

Work Permit Request Form



  1. The Parent/Guardian should obtain and complete the work permit application which is available at Ligonier Valley High School and sign in the presence of the issuing officer.

  2. The Parent/Guardian should also provide the required document for proof of age such as Transcript of Birth Certificate, Baptismal Certificate, Passport, or affidavit of parent or guardian accompanied by physician’s statement of opinion as to the age of the minor

  3. Once the issuing officer ensures that all the documents required by law have been examined, approved and filed, and all conditions and requirements for issuing a permit have been fulfilled, a wallet-sized, paper work permit will be issued to the student

  4. The student should sign the work permit when received and show it to the employer, who should make a copy for their records. THE STUDENT SHOULD ALWAYS RETAIN THE ORIGINAL WORK PERMIT.