Request for Minimum Wage Exemption for Student Learners Date Alaska Department of Labor & Workforce Development Labor Standards and Safety Division P.O. Box 21149 Juneau, Alaska 99802-1149 Re: Request for Exemption from Minimum Wage for Student Learner We hereby request an exemption to the state minimum wage for student learners that we will be employing during the 2003-2004 school year (August ___, 2003 through June ___, 2004). These student learners are enrolled in a vocational course of study under a recognized local educational authority, the XYZ School District, specifically the ABC High School's Work Based Learning Program. The students take related vocational courses at the school, including Office Procedures, Computer Applications, and Accounting. We employ them as student learners in the following positions: receptionist, administrative clerk, and data entry clerk. We are asking for the exemption because the student learners are not capable of performing their job duties to the same level of competence that a regular worker would. It takes many hours of our own staff members’ time to instruct and supervise the student workers. We attest that we will abide by all the requirements of AS 23.10.325 – 23.10.370 related to the employment of minors. We further attest that the wage we pay the student learners will not be less than 75 percent of the minimum wage established under AS 23.10.065. We are enclosing copies of the approved student learners’ work permits. If you need further information, please contact us. Otherwise, we look forward to your approval of our request. Thank you. Sincerely, Jane Smith Employer President, ____________ Company 9999 Icecap Road Anytown, AK 99999 Phone 907-123-0000 John Q. Teacher Work Based Learning Coordinator XYZ School District 123 Main Street Anytown, AK 99999 Phone 907-555-5555 Enclosures: # Work Permits Alaska Work Based Learning Guide September 2003 Request for Minimum Wage Exemption for Student Learners Page 1