About the Teacher

  • Valarie Benjamin




  • Process for Issuance of Work Permits   
    Stockton Unified School District

    How to Obtain a Work Permit During Distance Learning Due to COVID-19


    1. Students will print out the Form B1-1 Statement of Intent to Employ a Minor and Request for Work Permit-Certificate of Age.
    2. Students will complete Minor’s Information and School Information.
    3. Parent or legal guardians must sign their portion of the form.
    4. Students will check the Employer COVID Procedures list to see if their employer has submitted necessary documentation of COVID Procedures. 
      • If the Employer has submitted the documentation, students will take the B1-1 to their employer - the employer must complete and sign the employer section.
      • If the Employer has NOT submitted the documentation, the student will print the request for documentation letter and take that and their B1-1 to their employer. The employer must complete and sign the employer section of the B1-1 AND attach a copy of their COVID Safety Procedures to the B1-1. 
    5. Students must return completed Form B1-1 with all signatures and COVID Safety Procedures to Mrs. Benjamin. Mrs. Benjamin will check grades, attendance, and behavior to make sure the student meets the requirements for a work permit. She will also check to make sure we have the employer’s COVID Procedures on file or they have been turned in.  
    6. Students will be contacted when the Work Permit is ready for pick up (24 to 48 hours). 
    7. Students must take the completed Permit to Employ and Work (Form B1-4) back to the employer.



    • Work Permit Applications must be signed by the employer.
    • A parent or guardian must also sign the application.
    • The student’s social security number is required to process a work permit.
    • Student ID will be verified through district records.
    • The completed “official” work permit is signed by the student and the Work Experience Coordinator.
    • Each new job requires a new work permit.
    • Minimum 2.0 GPA required for a work permit and no F’s.
    • Summer work permits expire August 6, 2021. 

    Updated 5/28/2021