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In Pennsylvania, minors between the ages of 14–18 must obtain a Work Permit.  Work Permits cannot be issued to children under the age of 14.

Work Permits are issued by the school district in which the student resides. It is only valid for employment within the State of Pennsylvania.

Out Of State Employment — Any student seeking employment in another state, must secure a Work Permit from the school district in which the employer is located.


The Application for Work Permit [PDE-4565 (1/13)] will be filled out by the issuing officer. The student must provide acceptable evidence of age.

Acceptable evidence of age (in order of preference include):

a) Transcript of birth certificate

b) Baptismal certificate or transcript

c) Passport

The Work Permit Process:

1. Print off the form PDE-4565 from the Blackhawk High School website.


2. Print the name of minor ONLY in Section A. The remaining sections will be completed by the issuing officer.

3. Complete Section B – Signature of parent, guardian or legal custodian & the address of parent, guardian or legal custodian.

4. Take the application and a copy of the evidence of age document (ie. Birth certificate) to Blackhawk High School main office. The minor student must be present.

5. The issuing officer MUST witness the minor’s signature at “Signature of Minor”

6. The minor will be instructed that they are to keep the blue permit in their possession until their 18th birthday. The permit is transferable to any PA employer. It may be shown to the employer to be photocopied but must be returned to the student.

Office hours are 7 am to 3:30 pm when school is in session. During the summer, office hours are 7:30 am to 3:00 pm.

Blackhawk School District: 500 Blackhawk Road, Beaver Falls, PA 15010 Phone: (724) 846-6600 Fax: (724) 846-2021
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Blackhawk School District:
500 Blackhawk Road, Beaver Falls, PA 15010

Phone: (724) 846-6600
Fax: (724) 846-2021
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