CLEARANCE INSTRUCTIONS
To Renew for Student Teaching
TUBERCULOSIS (TB) TINE TEST INSTRUCTIONS
For Student Teaching:
Visit the campus clinic
(#4350 for an appointment) for a TB Tine test and “student teaching
physical.”
This will assure that the clinic doctor signs your application for
certification (PDE 338G) that goes in to Harrisburg. The Clinic
will provide a portion of a three part form for you, and another for you to
provide to the Field Experience Office - RC 205.
OR
Visit your personal
physician for a TB Tine test and Physical. Have your physician sign the PDE
338 G
form in Section III. 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
Application for Pennsylvania Certification Forms:
PDE 338 C:
http://www.teaching.state.pa.us/teaching/lib/teaching/PDE338C_11-14_.pdf
PDE 338 G:
http://www.teaching.state.pa.us/teaching/lib/teaching/PDE338G__10-08_.pdf
Please note: The PDE 338 C&G forms should be turned in to Lori Cass, 224
South
Hall with a money order payable to
Mansfield University by the end of the semester
prior to student teaching.
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 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
Please
note:
Students seeking employment in states
other than Pennsylvania will want to check
individual state clearance requirements
to be prepared for job searching after student teaching.
(Ex: New York State requires the OSPRA clearance. )
PROFESSIONAL LIABILITY INSURANCE
(Choose
any of the following four options)
1. Pennsylvania State
Education Association (SPSEA) =
http://heyteach.org after 4/09 for Fall 2009 Student Teachers
2. Council for Exceptional Children (CEC) =
http://www.cec.sped.org/
3. The National Association for Music Education (MENC) =
http://www.menc.org/
4. Purchase professional liability insurance from your own carrier and provide proof
MAKE SURE
that your membership matches the academic year (09-10) within which with you
are student teaching!!
Be sure to print out 2
proof of membership forms – one for your records and one for the Field
Experience Office - RC 205.
A note regarding professional liability
insurance: Students shall be
responsible for procuring professional liability insurance at their own
expense. The limits of the policy shall be a minimum of $1,000,000.00 per
claim and an aggregate of $3,000,000.00 per occurrence. This policy must
remain in full force and effect for the duration of the practicum or student
teaching assignment.
Take your original documents along with copies to the Field
Experience Office,
Retan Center, Room 205, prior to established deadlines!!
Application for Pennsylvania Certification
Turn in the PDE 338 C & G Forms to Lori Cass in 224 South Hall by the end of the semester prior to
student teaching with a
money order made payable to Mansfield University.
Application for
Pennsylvania Certification Forms:
PDE 338 C:
http://www.teaching.state.pa.us/teaching/lib/teaching/PDE338C_11-14_.pdf
PDE 338 G: http://www.teaching.state.pa.us/teaching/lib/teaching/PDE338G__10-08_.pdf