Resources and Information

Forms

Lakeland High School Update on Obtaining Working Papers - Effective September 5, 2023

Students ages 14-17 who wish to obtain working papers should:

• Fill out Part I of the AT-17 Application for Employment Certificate form including parent/guardian signature.  Fill out top of AT-16 Physical Fitness Verification form including Name, Address, and Date of Birth.
• If you do not have a current physical on file in the nurse's office, form AT-16 needs to be completed and taken to your physician for a signature and stamp. Forms AT-16 and AT-17 can be found here (link to pdf attached)
• AT-17 AND AT-16 forms should be scanned and emailed to pgoff@lakelandschools.org and chamilton@lakelandschools.org  Please note: jpeg files cannot be accepted. Paperwork can also be dropped off in the School Counseling Office.
• Visit the NYSED website for additional information.http://www.p12.nysed.gov/sss/pps/workingpapers/
• To avoid delay, please make sure the application is legible and includes the student's information and parent/guardian signature. Once the application is processed an email will be sent to arrange for pick up from the School Counseling Office or mailed directly home.

---

Walter Panas High School Update on Obtaining Working Papers – Effective September 5, 2023

Students ages 14-17 who wish to obtain working papers should:

Fill out Part I of the AT-17 Application for Employment Certificate form including parent/guardian signature.  Fill out top of AT-16 Physical Fitness Verification form including Name, Address, and Date of Birth.

• If you do not have a current physical on file in the nurse's office, form AT-16 needs to be completed and taken to your physician for a signature and stamp. Forms AT-16 and AT-17 can be found here (link to pdf attached)
• AT-17 AND AT-16 forms should be scanned and emailed to mebrown@lakelandschools.org and kgiordano@lakelandschools.org Please note: jpeg files cannot be accepted. Paperwork can also be dropped off in the School Counseling Office.
• Visit the NYSED website for additional information.http://www.p12.nysed.gov/sss/pps/workingpapers/
• To avoid delay, please make sure the application is legible and includes the student's information and parent/guardian signature. Once the application is processed an email will be sent to arrange for pick up from the School Counseling Office or mailed directly home.

Resources and information to support students
PowerPoint file