Work Permits For Webster Thomas Students 

For Thomas students 

1. Print out the Application For Employment Certificate (AT-17) 

2. Fill in the first part on page 1, including parent/guardian signature (use blue/black pen only, no pencil)

3. Email Ozlem_Kus@webstercsd.org or Allison_Coulombe@webstercsd.org or call for info 670-8018

4. Students will need a current physical examination on file (must be within 12 months) in order for the Certificate of Physical Fitness section to be signed by the health office. If your student does not have a current physical on file, you may email a copy of a current physical exam along with your application or you can have your doctor sign the Physical Fitness Certificate form (AT-16) verifying good health (must be dated within 12 months) and forward that along with your application. If necessary, you may fax to (585) 670-8023. 

For Webster home schooled and private school students in Thomas HS catchment 

1. Print out the Application For Employment Certificate (AT-17) and if needed, the Physical Fitness Certification (AT-16)

2. Fill in part 1 on the Application for Employment Certificate, including parent/guardian signature (use blue/black pen only, no pencil) 

3. Provide a copy of a current physical exam (must be within 12 months) or a doctor signed Physical Fitness Certificate (AT-16).  

4. Provide documentation of evidence of age (see form for info) 

5. Provide copy of a photo ID

6. Email all items to Ozlem_Kus@webstercsd.org, Allison_Coulombe@webstercsd.org

7. The student must be available to pick up the work permit in person. Appointments are available Monday - Friday during the hours of 7:45am to 3pm. 

For child modeling – must apply online at http://www.labor.ny.gov/workerprotection/laborstandards/secure/child_index.shtm

If you need a duplicate card for a second job and the student has not changed age, or if you have any additional questions please email Ozlem_Kus@webstercsd.org, Allison_Coulombe@webstercsd.org or call 585-670-8018.