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Employment of Children

Application for Work Permit

IMAGE: Page 1 is a blank employment work permit form headed “Employment of Children” and “Application for Work Permit”, with the Orkney Islands Council crest and the words “ORKNEY ISLANDS COUNCIL” at the top right. It contains Section 1 for the employer, an employment-hours table, a risk-assessment certification, and employer signature and date fields.

Section 1: To be completed by Employer
Employer’s Name:
Business Address:
Postcode:
Telephone:
Email:
Nature of Business:
Duties to be undertaken by child:
Place of Work (if different from above):

Hours of employment excluding meal breaks – state starting and finishing times:

From.To.From.To.Total Hours.
Monday.
Tuesday.
Wednesday.
Thursday.
Friday.
Saturday.
Sunday.
Non-School Days.

I certify that the appropriate risk assessment has been carried out for the child’s employment has been carried out.
Signature of Employer:
Date:

Section 2: To be completed by Parent/Carer of Child

If you live with someone other than a parent, proof of guardianship must be provided.
Full Name of Child:
Address:
Postcode:
Date of Birth:
School Attending:

I confirm that I agree to my child’s proposed employment. I confirm that my child is fit to undertake the specified job and has no medical conditions which would prohibit employment or be affected by employment.
Name of Parent/Carer:
Signature of Parent/Carer:
Date:

Section 3: To be completed by Head Teacher
School Class:
Attendance – current year:Possible:                       Actual:
Attendance – previous year:Possible:                       Actual:
Will the employment interfere with the child’s health, welfare or ability to take full advantage of his/her education?☐ Yes.                       ☐ No.
If yes, please give details:
Comments:
Name of Head Teacher:
Signature of Head Teacher :
Date:

Please send completed form to: Education, Leisure and Housing, Orkney Islands Council, Kirkwall, Orkney, KW15 1NY.

IMAGE: Page 2 continues the blank work permit form with Sections 2 and 3. It includes fields for the child, parent/carer, school attendance, the question “Will the employment interfere with the child’s health, welfare or ability to take full advantage of his/her education?” with “Yes.” and “No.” checkboxes, comments and signatures, followed by the mailing address for Education, Leisure and Housing, Orkney Islands Council, Kirkwall, Orkney, KW15 1NY.