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Holley Central School District

Forms

Forms

Student Emergency Information Form
All students must have this form signed by a parent or guardian and on file at the student's school.

Online Bullying Report Form
Any student may use the form located on the left to identify instances of bullying that take place at Holley Central School District. Bullying should be reported whether it happens to you or you witness it. Instances of false reporting will be subject to disciplinary consequence.

Parking Registration Form
This form is for high school students with a valid driver’s license who wish to drive their own registered vehicle to school. Students must register their vehicle by turning in this form. Students may utilize parking spaces around the perimeter of the parking lot. Parking at school is a privilege and may be revoked. Students are not permitted to drive ATV’s, unregistered vehicles, or vehicles they are not licensed to drive to school.

Dance Guest Permission Form
This form is for high school students who wish to bring a guest to a dance at Holley CSD. All guests are subject to the rules and regulations of Holley MS/HS. Holley MS/HS administration reserves the right to not approve a request for guest admission to the dance. This permission form must be submitted 48 hours prior to the dance date. Only students in grade 9-12 can utilize the form.

Working Papers Application Form
Click here: Working papers.pdf
The school district cooperates with the NY State Labor Department in issuing working papers required by law for students under the age of 18 who seek employment. Children residing in the district, who need working papers, may obtain them by contacting the secretary in the High School Office. To secure working papers a student must:
  • Obtain and fill out an application 
  • Be checked by the school doctor or family physician 
  • Submit proof of age: birth/baptismal certificate, hospital record or passport. 
Newspaper deliverers must have working papers. However, deliverers can be as young as 12 years of age and still comply with the regulations by using a slip furnished to them by the newspaper. Children under the age of 18 who seek employment require working papers. It is not necessary to have definite employment before applying for working papers. Physical Fitness Certificates may be completed by a family physician or by the school nurse.
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