WORKING PAPER INSTRUCTIONS: PLEASE READ

The Issuing officer, Mrs. Gagliardi, is located in the student activities office:
 
 DROP OFF ON THURSDAY, FRIDAY                                      PICK UP ON TUESDAY
 DROP OFF ON MONDAY, TUESDAY, WEDNESDAY                PICK UP ON FRIDAY

APPLICANT MUST HAVE ALL SECTIONS COMPLETED BEFORE
MRS. GAGLIARDI CAN SIGN SECTION F.

 Section A: Personal Information (To be filled out by you)

Section B: Employment Information (To be filled out & signed by employer)
(Parent also signs this section)
                                           
Section C: Physicians Certification (To be completed and signed by your physician)
 
Section D: Proof of Age (You MUST bring your passport or birth certificate with you.
The issuing officer will photocopy it to send to the State Department of Labor along with your application)
 
Section E: Must be completed by the school you attend.
If you attend Somerville High School, YOU MAY complete this section as follows:

School District:         SOMERVILLE                               County:         SOMERSET

Name of School:       SOMERVILLEHIGH SCHOOL   School Address:        222 Davenport Street

Last grade completed: PUT THE LAST GRADE YOU COMPLETED, NOT THE GRADE YOU ARE  IN NOW!

IF YOU ATTEND A SCHOOL OTHER THAN SOMERVILLE HIGH SCHOOL,
THAT SCHOOL PRINCIPAL MUST COMPLETE SECTION F (SCHOOL RECORD)

Section F: Complete with the following information:

School District:         SOMERVILLE                               County:         SOMERSET

School DistrictAddress:      51 WEST CLIFF STREET  SOMERVILLE,  NJ 08876

School District Telephone #:  908-218-4100          

MINOR MUST SIGN APPLICATION BEFORE SUBMITTING FOR PROCESSING
 

 WORKING PAPERS ARE A STATE REQUIREMENT.

 
WORKING PAPERS CANNOT BE SIGNED BY THE ISSUING OFFICER UNLESS ALL
SECTIONS ARE COMPLETED AND ALL REQUIRED SIGNATURES LINES ARE SIGNED!