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Please print, complete this application form and submit it to the Dean of Students (Kathleen) and she will issue you a Work Permit. Statement of Intent to Employ Minor and Request for Work Permit
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Date of birth
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Start by providing your full name in the designated space on the form. Write it clearly and legibly to avoid any confusion.
5.2
Move on to the contact details section. Fill in your phone number and email address accurately. Double-check for any errors to ensure that you can be contacted easily if needed.
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Next, indicate your date of birth. Write the month, day, and year in the respective spaces provided. Pay attention to the format specified on the form and make sure it matches.
5.4
If the form requires your social security number, enter it carefully. Social security numbers are sensitive information, so be mindful of your surroundings when completing this section.
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Finally, provide your address. Write your current residential address, including the street name, city, state, and zip code. Ensure that it is accurate and up-to-date.

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01
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Educational institutions: Schools or universities might use this form for enrollment or registration purposes, ensuring that they have correct and legible information about their students.
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