ELIGIBILITY TO WORK FORM
Please type form answers as you wish them to appear on the official form.
Student Legal Name
*
Name of Employer
Employer Address
(Street Address)
Street Address Line 2
(City)
State / Province
Postal / Zip Code
(Date)
/
Month
/
Day
Year
Date
Affirmation of Academic Progress:
By requesting this Eligibility to Work Permit, I affirm that the student listed on this form is currently succeeding in their academic studies. I also understand that students under the age of 16 in Alabama are NOT allowed to work during the hours public school is in session. I have read and understand the Alabama Department of Labor rules regarding minors in the workplace and agree to abide by those regulations. I hold harmless HOPE Christian Academy, Union Grove Baptist Church, and all their representatives for the consequences of my child's employment activities.
Name of Parent Requesting Work Permit
*
First Name
Last Name
Parent Email Address
*
example@example.com
Upload of Parent Driver's License (or other state issued ID) for ID Verification
*
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Alabama Work Permit Request (2 week turnaround)
For students ages 14 & 15 ONLY
$
Free
EXPRESS Alabama Work Permit Request ( 2 day turnaround)
For students ages 14 & 15 ONLY
$
25.00
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