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Work permits
Student work permits
Work permits are processed through the Gates Chili High School Counseling Office. Students may pick up a paper application in the health office or complete the fillable digital application linked below.
Step 1: Submit Required Documents
Email attachments or photos of the following documents to your counselor.
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Work Permit Application – Part I only
- Download the fillable NYS DOL AT-17 Application Form
- Be sure to include your full legal name, including middle name
- For digital parent signatures, use the “Add Notes” or “Fill & Sign” tool in your PDF reader
- Proof of a current physical exam (within the past year)
- You may submit a copy of a recent physical OR the completed AT-16 Physical Fitness Certification Form
- Proof of identification (if applicable)
- Gates Chili students and residents typically do not need to submit ID unless their name or address has changed or does not match school records
- If you are a non-Gates Chili student or resident, please include a copy of a state-issued ID (e.g., birth certificate, driver’s license, passport)
Step 2: Receive Your Work Permit
Once your documents are verified, the certifying officer will process your work permit—usually within one business day. You will need to sign the card when you receive it.
Please indicate how you'd like to receive your permit:
- Pick up during the school day (for Gates Chili students)
- Mail to home address (for home-schooled or private school students)
Please contact Karen Lynch with any questions about work permits.
Phone: (585) 247-5050 ext. 21510
Fax: (585) 340-5525