1
EARLY HELP & SCHOOLS
EMPLOYMENT OF SCHOOL CHILDREN
Application for an Employment Licence
(To be returned to the Local Authority in which the child will be working)
N.B. Please provide a passport photo and a copy of the child’s birth
certificate. All sections must be completed.
Section A
Child’s Name
Date of Birth
Address
Post Code
Parent’s name
Telephone No
Employer’s
Name (Manager)
Telephone No
Name and
address of
Business
Type of
Employment
Child’s Duties
Time of
Employment
School days between ……………………….. and ………………………….
Saturdays between ……………………….. and ………………………….
Sundays between ……………………….. and ………………………….
Holidays between ……………………….. and ………………………….
For the Employer
I have carried out a specific young person’s assessment in relation to this employment as required under
current legislation and shared its findings with the child’s parents/carers and the child. I hold employer’s
liability insurance. I have also read and understood the guidance notes on page 3 and in particular note 4
Employer’s Signature ………………………………………… Date………………………….
Section B
I have read and understood the notes etc., relating to the proposed employment of my son/daughter. The
employer has explained the risk assessment carried out on the above employment and I understand its
findings. I have completed the medical questionnaire and hereby give my consent to this proposed
employment.
Parent’s Signature ………………………………………… Date………………………….
Find out how we use your personal information at rochdale.gov.uk/privacy
click to sign
signature
click to edit
click to sign
signature
click to edit
2
Medical Questionnaire
Section C – To be Completed by Parent/Carer
Name of child
Parent’s Daytime Number
Other Contact Number
Family Doctor’s Name and Address:
Please give details of your child’s previous illnesses, operations, hospital admissions and attendance at
out-patients clinics:
________________________________________________________________________________
________________________________________________________________________________
Please tick ‘YES’ or ‘NO to the following: Yes No
1. Does your child suffer from any bone, joint or muscle problems?
2. Does your child suffer from any chest disease or asthma?
3. Does your child suffer from any dizzy spells or epilepsy?
4. Does your child suffer from any heart disease?
5. Does your child suffer from any skin problems
6. Does your child have a physical disability?
7. Does your child take any medication?
8. Does your child have hearing difficulties?
If so does s/he need hearing aids?
9. Does your child have poor vision? If yes:
a. Has s/he been advised to wear glasses?
b. Does your child experience difficulties in daily living?
If you have answered ‘YES’ to any of these questions, please give more details here including the name of any
medication. Please write overleaf if you need more space.
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Once you have completed the form, please read the following and sign below:
I certify that I am the parent/carer of __________________________________________________ and agree to a
medical examination by the school medical officer if necessary.
Signature: ________________________________________________ Date: ______________________
(Parent/Carer)
Return to:
Education Welfare Service
Floor 4, No1 Riverside
Smith Street,
Rochdale, OL16 1XU.
Tel: (01706) 925115
3
These notes should be kept for information.
GUIDANCE NOTES
1. An application form for an employment Licence must be completed for every pupil of compulsory school age who is
considering employment.
2. No pupil under the age of 13 can be employed in any part-time work.
3. The types of employment and hours to be worked are strictly regulated. A brief summary of the main restrictions can be
found below.
4. SECTION A
This section must be completed by the prospective employer, and must give specific and exact details of the nature of
employment and the hours to be worked. The prospective employer must sign this section to show that s/he understands
this, and that any change in employment will therefore require a further application form to be submitted.
5. SECTION B
This section must be completed in full by the parent or carer of the pupil considering employment.
6. SECTION C
The parent or carer must complete the medical questionnaire. A medical examination may be required.
7. The completed application form should then be submitted to the Education Welfare Service, together with a copy of the
pupil’s birth certificate and a passport photo, at the address on the front of the application form.
SUMMARY OF RESTRICTIONS RELATING TO EMPLOYMENT
a) Prohibited employment
No child of any age may be employed;
i) in a cinema, theatre, discotheque, dance hall or night club, except in conjunction with a performance given entirely
by children;
ii) to sell or deliver alcohol, except in sealed containers;
iii) to deliver milk;
iv) deliver fuel oils;
v) in a commercial kitchen;
vi) to collect or sort refuse;
vii) in any work which is more than three metres above ground level or, in the case of internal work, more than three
metres above floor level;
viii) to collect money, to sell or canvas, door to door;
ix) in work involving exposure to adult material or in situations which are for this reason otherwise unsuitable for
children;
x) in telephone sales;
xi) in any slaughter house, abattoir or butcher’s shop where meat is prepared for sale;
xii) as an attendant or assistant in a fairground or amusement arcade or in any other premises used for the purpose of
public amusement by means of automatic machines, games of chance or skill or similar devises;
xiii) in the personal care of residents of any residential care home or nursing home.
b) Restrictions on hours
Days of
Work
Times of Work
Max.
Hours
Age 13 – 15
School
Days
One hour between 7.00am to start of school and one hour between close of school -
7.00pm
OR
Two hours between close of school – 7.00pm
2
School
Holidays
7.00am to 7.00pm
25 (per
week)
Saturdays
7.00am to 7.00pm
5
Sundays
7.00am to 7.00pm
2
Age 15 plus
School
days
One hour between 7.00am to start of school and one hour between close of school -
7.00pm
OR Two hours between close of school – 7.00pm
2
School
Holidays
7.00am to 7.00pm
35 (per
week)
Saturdays
7.00am to 7.00pm
8
Sundays
7.00am to 7.00pm
2
If your child works for more than 4 hours, s/he must have an hour’s break.
If your child works during the school holidays, s/he must have a two week period free from work.
Your child can only work 12 hours maximum in any school week.