BOARD OF EDUCATION

Lindsay Cal Johnson, President

Christopher De La Cerda, Clerk
Brooke Ashjian
Luis A. Chavez
Valerie F. Davis
Carol Mills, J.D.
Janet Ryan

SUPERINTENDENT
Bob Nelson

THE STATE OF CALIFORNIA

Work Permit for Minors

THE STATE OF CALIFORNIA REQUIRES THAT ALL MINORS

(A PERSON UNDER THE AGE OF 18)
HAVE A WORK PERMIT ON FILE AT THE WORKSITE BEFORE THE
EMPLOYMENT IS LEGAL
Exceptions: High School Diploma or equivalent

A minor not attending school is not eligible for a California Work Permit

PROCEDURES FOR OBTAINING A WORK PERMIT

1. The school of attendance issues the work permit.

2. The school will issue a State of California Department of Education form number B1-1
(Request for a Work Permit Application). This form must be completed in blue or black ink and
requires the signature of the student, the employer, and the parent/guardian.

3. The completed B1-1is returned to the school of attendance and reviewed for accuracy and
eligibility for both Fresno Unified and the prospective employer.

4. The student is to return to his/her school of attendance to pick up the student’s State of
California Department of Education Work Permit, form B1-4 (Permit to Employ and Work).
The B1-4 is the document that students need to submit to his/her employer to begin
employment.

5. Student must provide a social security number and proof of identification.

For more information about child labor laws, contact the U.S. Department of Labor at http://www.dol.gov/, and the State of
California Department of Industrial Relations, Division of Labor Standards Enforcement at http://www.dir.ca.gov/DLSE/dlse.html.

2309 Tulare Street Fresno, CA 93721-2287 www.fresnounified.org

 Student Name _____________________________ School ID#_____________________

In order to acquire a work permit in the Fresno Unified School District, the following minimum standards must be adhere
to attendance, grades and citizenship guidelines. Additionally, students must be enrolled in five (5) courses per
quarter in order to maintain a valid Work Permit (FC 46145)

ATTENDANCE STANDARD:
Students with six (6) or more days of unexcused absences or thirty-six (36) individual period absences/tardies per
quarter will receive a probationary work permit; students may be employed and work with a probationary work permit.
Subsequent violations of the attendance standard results in revocation of the student’s work permit. Parents and employers
will be notified by the student’s counselor of the probation/revocation status of the student’s work permit.

GRADING STANDARD:
Student must have a quarterly eligibility grade point average (GPA) of 2.0 or better or the work permit will be
placed on probation. Students may be employed and work during a probation period. Subsequent violations of the
grading standard results in revocation of the student’s work permit. Parents and employers will be notified by the
student’s counselor of the probation/revocation status of the student’s work permit.

CITIZENSHIP STANDARD:
Students must maintain appropriate conduct in citizenship. Suspension, expulsion or conduct referrals will result in a
probationary work permit. Students may be employed and work during a probation period. Subsequent violations of the
citizenship standard results in revocation of the student’s work permit. Parents and employers will be notified by the
student’s counselor of the probation/revocation status of the student’s work permit.

The Fresno Unified School District’s intent is to improve each student’s academic performance, attendance, and
citizenship as they build their work habits, skills, and positive character references. Students must re-apply for a work
permit after the revocation period providing the student has met the District’s minimum requirements to maintain the
work permit.
For more information about child labor laws, contact the U.S. Department of Labor at http://www.dol.gov/, and the State of
California Department of Industrial Relations, Division of Labor Standards Enforcement at http://www.dir.ca.gov/DLSE/dlse.html.

I have read and understand the above information on the Requirements to Maintain the Work Permit.

Student Signature:___________________________________ Date:_________________

Parent Signature: ____________________________________ Date:_________________

<For Office Use Only>

GPA ________ Attendance ________ Citizenship ________

Regular ________ Probation ________ Denied ________

Reason for Probation or Denial ________________________________________________

Counselor Signature: ____________________________________ Date:_________________

2309 Tulare Street Fresno, CA 93721-2287 www.fresnounified.org

 STATE OF CALIFORNIA DEPARTMENT OF EDUCATION CDE Form B1-1 (Rev. 02-14)
A “STATEMENT OF INTENT TO EMPLOY A MINOR AND REQUEST FOR A WORK PERMIT–CERTIFICATE OF AGE”
form (CDE Form B1-1) shall be completed in accordance with California Education Code 49162 and 49163 as notification of intent to
employ a minor. This form is also a Certificate of Age pursuant to California Education Code 49114.
(Print Information)
Minor’s Information

Minor’s Name (First and Last) Home Phone Grade

Home Address City Zip Code

Birth Date Social Security Number Age Student’s Signature

School Information
Design Science Middle College High School (559) 248.7353
School Name School Phone
2004 E. Cambridge Fresno 93703
School Address City Zip Code
To be filled in and signed by parent or legal guardian
This minor is being employed at the place of work described with my full knowledge and consent. I hereby certify that to the best of
my knowledge and belief, the information herein is correct and true.

Parent’s Name (Print First and Last) Parent’s Signature Date

To be filled in and signed by employer

Business Name or Agency of Placement Business Phone Supervisor’s Name

Business Address City Zip Code

Employer’s Maximum Expected Work Hours: _________ hours per day ________ hours per week
Describe nature of work to be performed:

In compliance with California labor laws, this employee is covered by workers’ compensation insurance. This business does not
discriminate unlawfully on the basis of race, ethnic background, religion, sex, sexual orientation, color, national origin, ancestry, age,
physical handicap, or medical condition. I hereby certify that, to the best of my knowledge, the information herein is correct and true.

Employer’s Name (Print First and Last) Employer’s Signature Date

For authorized work permit issuer use ONLY

Maximum number of work hours when school is in session: Maximum number of work hours when school is not in session:

Mon Tues Wed Thur Fri Sat Sun Total Mon Tues Wed Thur Fri Sat Sun Total

______________________________________________ Check Permit Type:

Work Experience
Proof of Minor’s Age (Evidence Type)
Full-time Education, Vocational
Education, or Personal
_____________________________________________ Restricted Attendant
Verifying Authority’s Name and Title (Print)
General Workability
______________________________________________
Verifying Authority’s Signature

2309 Tulare Street Fresno, CA 93721-2287 www.fresnounified.org

 STATE OF CALIFORNIA DEPARTMENT OF EDUCATION
STATEMENT OF INTENT TO EMPLOY MINOR AND REQUEST FOR WORK PERMIT
CDE B1-1 (REV. 06-10)
General Summary of Minors’ Work Regulations
FLSA-Federal Labor Standards Act, CDE-California Department of Education, EC-California Education Code, LC-California Labor Code
 If federal laws, state laws, and school district policies conflict,  A day of rest from work is required in every seven days, and shall
the more restrictive law (the one most protective of the minor) not exceed six days in seven.
prevails. (FLSA) (LC 551, 552)
 Employers of minors required to attend school must complete a Minors under the age of 18 may not work in environments
“Statement of Intent to Employ Minor and Request for Work declared hazardous or dangerous for young workers, examples
Permit” (CDE B1-1) for the school attendance for each such listed below: (LC 1285–1312)
minor. (EC 49162) 1. Explosive exposure
2. Motor vehicle driving/outside helper
 Employers must retain a “Permit to Employ and Work” (CDE B1- 3. Roofing
4) for each such minor. (EC 49161) 4. Logging and sawmilling
 Work permits (CDE B1-4) must be retained for three years and be 5. Power-driven woodworking machines
available for inspection by sanctioned authorities at all times. (EC 6. Radiation exposure
49164) 7. Power-driven hoists/forklifts
 A work permit (CDE B1-4) must be revoked whenever the issuing 8. Power-driven metal forming, punching, and shearing machines
authority determines the employment is illegal or is impairing the 9. Power saws and shears
health or education of the minor. (EC 49164) 10. Power-driving meat slicing/processing machines

HOURS OF WORK
16 & 17 Year Olds 14 & 15 Year Olds 12 & 13 Year Olds
Must have completed 7th grade to work Must have completed 7th grade to work Labor laws generally prohibit non-farm
while school is in session. while school is in session employment of children younger than 14.
(EC 49112) (EC 49112) Special rules apply to agricultural work,
domestic work, and the entertainment
industry. (LC 1285–1312)

School In Session
4 hours per day on any schoolday 3 hours per schoolday outside of school 2 hours per schoolday and a maximum of
(EC 49112; 49116; LC 1391) hours (EC 49112, 49116; LC 1391) 4 hours per week.
8 hours on any non-schoolday or on any 8 hours on any non-schoolday (EC 49112)
day preceding a non-schoolday. No more than 18 hours per week
(EC 49112; LC 1391) (EC 49116; LC 1391)
48 hours per week (LC 1391) WEE students may work during school
WEE students & personal attendants hours & up to 23 hours per week.
may work more than 4 hours on a (EC 49116; LC 1391)
schoolday, but never more than 8.
(EC 49116; LC 1391, 1392)

School Not In Session

8 hours per day (LC 1391, 1392) 8 hours per day (LC 1391, 1392) 8 hours per day (LC 1391, 1392)
48 hours per week (LC 1391) 40 hours per week (LC 1391) 40 hours per week (LC 1391)

Spread of Hours
5 a.m.–10 p.m. However, until 12:30 7 a.m.–7 p.m., except that from June 1 7 a.m.–7 p.m., except that from
a.m. on any evening preceding a non- through Labor Day, until 9 p.m. June 1 through Labor Day, until 9 p.m.
schoolday (LC 1391) (LC 1391) (LC 1391)
WEE students, with permission, until
12:30 a.m. on any day (LC 1391.1)
Messengers: 6 a.m.–9 p.m.

For more information about child labor laws, contact the U.S. Department of Labor at http://www.dol.gov/, and the State of
California Department of Industrial Relations, Division of Labor Standards Enforcement at http://www.dir.ca.gov/DLSE/dlse.html.

2309 Tulare Street Fresno, CA 93721-2287 www.fresnounified.org