- LaGrange Middle School
- WORKING PAPERS
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WORKING PAPERS PROCEDURES:
- The application can be picked up in the Health Office at school, printed from the website or complete the fillable PDF version (see the next section for directions on how to use this method). Parents/guardians and minors complete and sign the AT-17 Application for Employment.
- The student will need to bring the following documents to the Health Office:
- The completed AT-17 Application of Employment Certificate.
- A copy of your most recent physical from your doctor.
- The Certificating Officer will then review your AT-17 Application for Employment and your most recent physical from your doctor.
- If any questions or concerns arise the certificating official will contact you.
- If there are no questions or concerns the Certificating Official will then complete the working card, sign it and have the student come sign it.
WORKING PAPER CHECKLIST
DID YOU?
- Fill out Part 1 only of the application?
- Parent/guardian sign the document?
- Have a copy of your most recent physical?
- Bring the AT-17 Application for Employment and copy of most recent physical to the Health Office.
WORKING PAPERS PROCEDURES (FOR REMOTE STUDENTS OR IF SCHOOLS ARE CLOSED--please note that if it’s a school vacation (eg spring break) it will be processed after the vacation)
- Parents/guardians and minors will complete the printed or fillable PDF version on the AT-17 Application for Employment. If you are using the fillable version, download the AT-17 Application for Employment Certificate and save the form to your hard drive.
- Please save the file as follows: last name-first name (ie: smith-john.pdf)
- Open the document up on your computer.
- Fill out PART 1 only of the AT-17 Application for Employment Certificate.
- Parent/Guardian must DIGITALLY SIGN the document. Once you click in the fillable box the document will walk you through the process.
- Save the document again.
- Attach the following documents in an e-mail:
- The complete AT-17 Application of Employment Cerificate.
- An electronic copy of your most recent physical from your doctor. You may attach your most recent physical as a PDF file or as JPG file.
- Once you have attached your application and physical e-mail them to snerf@acsdny.org during the school year. During the summer months, please call the Main Office.
- The Certificating Officer will then review your AT-17 Application for Employment and your most recent physical from your doctor.
- If any questions or concerns arise the certificating official will contact you.
- If there are no questions or concerns the Certificating Official will then complete the working card, sign it and mail it to the minor to the address listed in School Tool.
- Once you receive your working papers you will need to sign it. The requirement that the minor sign the card in the presence of the Certificating Officer is temporarily waived for the duration of New York’s Covid-19 school closures.
WORKING PAPER CHECKLIST
DID YOU?
- Download and save the AT-17 Application for Employment as follows: last name-first name.pdf
- Fill out Part 1 only of the application?
- Have parent/guardian sign (digitally sign if using fillable PDF version) document?
- Save the final version of the application?
- Attach application to the e-mail?
- Attach your most recent physical?