Parental Permission Form
Permit form for applicants under age 18

Non-high school graduates under age 18 at the time of enrollment at York Technical College must obtain the signature of one parent and the secondary school official in whose school the applicant is or should be enrolled. In the case of an applicant from a home school, the permission must come from the school district or an authorized educational agency which has jurisdiction over the home school.

Applicant’s Name _________________________________________________
Applicant’s Social Security Number _________________________________________________
Parent’s Signature _________________________________________________
Signature of Authorized
School Official
_________________________________________________
Name of School or Authorized Educational Agency _________________________________________________
Title _________________________________________________