Please complete all sections of the NJDOE A300 Combined Certification Form prior to submitting it for final approval:

• A. Minor's Personal Information

• B. Employment Information

• C. Physician's Certification (must be signed by your doctor)

• D. Proof of Age (A digital copy of one of the listed items is required)

• E. Name of School and Last Grade Completed

• F. Signature of Minor

 Submit completed form here: MCVSD Secure File Upload