Work Permit application

Please fill out the form below (section 1 on page 1 and top of Physical Fitness Certification on page 2). Your doctor's office can fill in part A or B on page 2 with date and doctor information from your last physical or you can email a copy of your last physical (must be within the last year). If you don't have a scanner, you can take a picture with your phone and send as an attachment to joanna.teasdale@fairport.org.  Completed forms can also be dropped off in the Counseling Office.