CLEARANCE INSTRUCTIONS
For All Education Majors
TUBERCULOSIS (TB) TINE TEST INSTRUCTIONS
Initial submission:
1. Make
sure a negative TB Tine result shows on the Health Form you are required to
turn into the the
Student Activities Office at the beginning of your course work at
Mansfield University.
OR
2. Visit your personal physician for a TB Tine/Mantoux
test. And have him/her provide a prescription
sheet including the following:
Patient name, social security number, and date of birth
Office name and location
Results (negative/positive) of TB Tine/Mantoux test
Doctor’s signature
CRIMINAL RECORD CHECK INSTRUCTIONS (ACT 34)
FAST!! On-line ACT
34 Criminal Record Check request:
https://epatch.state.pa.us/Home.jsp
(on-line with credit card) Print two!!
Take a copy to the Field Experience Office - RC 205
OR
SLOW!! Print out and snail mail ACT 34 Criminal Record Check request:
Act_34_Clearance.pdf (print)
Fill out your name, address, and telephone number. Do not use the address of the potential employer or Department of Education. Submit a $10.00 money order payable to Commonwealth of Pennsylvania. Mail in and wait approximately four weeks for it to return. Take original with copy to the Field Experiences Office - RC 205
CHILD ABUSE CLEARANCE INSTRUCTIONS (ACT 151)
1. Print clearly and neatly in ink or type section I only.
2. Address must be applicant's current home address.
3. All information must be completed in full.
4. Clearance must be signed.
5. $10 Money order must be enclosed payable to Department of Public Welfare.
6. One block must be checked. **
7. Send no postage paid return envelopes of any kind.
The form specifically asks for all previous names, addresses and household
members since 1975. This information must be provided to the best of
your knowledge and belief. Attach additional pages,
if necessary.
** Check the school employment block for college
courses or student teaching.
Mail in and wait approximately two weeks for it to return.
Take original with copy to the Field Experiences Office - RC 205
PENNSYLVANIA FBI
FINGERPRINT CLEARANCE (ACT 114)
1.
www.pa.cogentid.com
2.
Department of
Education(PDE)
3. Registration - Register On-line
4. Dissemination Disclaimer check box and press continue
5. Complete Applicant Registration
6. MUST CHECK BOX!!!
I request a copy of the report be mailed to the address on my application;
there is $2.00 processing fee. ($38 total)
7. Will be able to print out proof of registering and paying fee.
8. Call fingerprint site you plan to visit and make appointment
9. Have fingerprints scanned. Wait for clearance to return in
mail.
10. Bring the original and a copy to Field Experiences - RC 205
Effective 4/8/08 New
FBI Fingerprint Site in Wellsboro
There is a new FBI scan site in Wellsboro at the Tioga
County Courthouse.
Call Casey Zuchowski for an appointment 570-723-8205.
Links with helpful information regarding the Pennsylvania ACT 114 Fingerprinting
effective 4/1/07:
Pennsylvania Department of Education Background Clearance
Page:
http://www.teaching.state.pa.us/teaching/cwp/view.asp?a=13&q=125828
Take all original documents along with copies to the Field Experience Office, Retan Center, Room 205
YOU CAN SEE WHAT THE FIELD EXPERIENCE OFFICE HAS ON FILE FOR YOU BY CHECKING
http://webadvisor.mansfield.edu/
Web Advisor
Test Summary
Other Tests
Students can print out & sign to provide professors with proof that all
clearances are on file with Field Experiences.