Form Ps 014 PDF Details

In the state of Texas, the oversight and regulation of career schools and colleges are taken very seriously. This is highlighted through the meticulous requirements set forth in the PS-014 form provided by the Texas Workforce Commission (TWC). This document, titled "Career Schools and Colleges Representative Registration Application," serves as a comprehensive application for individuals seeking to represent educational institutions in this capacity. The form mandates the provision of thorough personal information, including legal name, permanent residence, and contact details, alongside questions that aim to assess the applicant's background and legal standing. For instance, applicants are asked about past convictions (excluding minor traffic violations), previous permits to solicit or sell courses in states other than Texas, and any direct involvement in owning or operating a career school or college. Moreover, the form delves into the specifics of the applicant's employment history over the last five years and requires a declaration of the nature of their proposed duties at the school they wish to represent. Critical to the integrity of the process is the consent given by the applicant for the TWC to obtain and verify information related to their criminal history, personal background, reputation, and character. This level of scrutiny underscores the importance placed on transparency, accountability, and the protection of students and the public from misrepresentation or fraud in educational solicitations. Additionally, the PS-014 form emphasizes the legal responsibilities and potential consequences for applicants, including fines or imprisonment for submitting false information, and outlines the rights of students to a refund under certain conditions of enrollment misrepresentation. The completion and submission of this document, along with the necessary fees and adhering to the specific mailing instructions provided, are crucial steps for those seeking to connect students with career educational opportunities in Texas, highlighting the state's commitment to quality and regulatory compliance in this sector.

QuestionAnswer
Form NameForm Ps 014
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesTWC, TEXAS, 15th, PS-014

Form Preview Example

TEXAS WORKFORCE COMMISSION

Career Schools and Colleges

Representative Registration Application

TWC USE ONLY

Receipt #

Fee Paid

Date Paid

Initialed by

Instructions: A separate application and fee are required for each applicant at each location and fees are non-refundable. P lease complete each item fully. If money is required with this submission, please make checks payable to TWC Career Schools and

Colleges and mail (with Fee Sheet PS-186) to Texas Workforce Commission, Career Schools and Colleges - Controller, 101 East 15th Street, Austin, Texas 78778-0001. If no money is enclosed, mail to Texas Workforce Commission, Career Schools and Colleges, 101 East 15th Street, Austin, Texas 78778-0001.

Check one:

Original ($90.00)

Chg. School Name /Address ($15.00)

Chg. Rep. Name/Address ($15.00)

School #S

School Name

 

 

 

Authority for Data Collection:

Texas Education Code Section 132.059

Planned Use of Data: Provide specific information on which to base approval of a representative.

Phone

 

School Toll-Free #

 

School FAX

 

School Location (physical address)

 

 

 

 

 

 

 

 

 

 

 

School Mailing Address

 

 

 

 

 

 

 

 

 

 

 

School E-mail Address

 

 

 

 

 

 

 

 

 

 

 

Today’s Date (mm/dd/yyyy)

 

School Director

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant's Legal Name

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent Residence Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

Residence Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security No.

 

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

Business Phone Number

 

4.

Have you ever been convicted of a violation of any law excluding a minor traffic violation?

Yes

No

 

If “Yes” answered, complete form PS-014B

 

 

5.

Will you have duties at the school you represent other than soliciting prospective students?

Yes

No

 

If yes, briefly describe these duties:

 

 

 

 

 

 

6. Have you ever had a permit to solicit or sell courses of instruction in any state other than Texas?

Yes

If yes, give name of state, address of agency granting permit, date and name of school represented:

 

No

Page 1 of 2

PS-014

PREVIOUS EDITIONS OF THIS FORM WILL NOT BE ACCEPTED

REV 03/11

7.

Have you ever owned or operated a career school or college in any state?

Yes

No

 

If yes, give name of state, address of regulatory agency, date, name and address of school:

 

 

 

 

 

 

8.

Have you performed any other duties at a career school or college in any state?

Yes

No

 

If yes, give name of state, address of regulatory agency, date, name and address of school:

 

 

 

 

 

 

9.Employment: List employment for the past five years beginning with the most recent.

EMPLOYER

PRESENT ADDRESS

DUTIES

DATES (MO/YR)

FROMTO

I certify that the foregoing statements are true and correct. I do hereby agree, consent, and direct that any person or entity maintaining information in any form relating to my criminal history shall release all such information upon the request of the Texas Workforce Commission. I do further hereby agree and permit the Texas Workforce Commission to obtain from any person or entity information relating to my personal background, reputation, and character, and do hereby expressly direct that any such person or entity release such information upon the request of the Texas Workforce C ommission. I d o h ereby release, d ischarge an d ex onerate t he T exas Workforce Commission, its agents or representatives, and any person or entity so furnishing information from any and all liability of every kind arising therefrom. The foregoing consent and release is valid and binding so long as I hold or seek any certificate, license, or permit under the authority of Chapter 132 of the Texas Education Code. I understand that purposely submitting false or misleading information on this application may subject me to a fine, a prison sentence, or both. Please note that the cancellation policy [Section 132.061(a)(2)] provides for a full refund of all moneys paid by a student if it is established the enrollment of the student was procured as th e r esult o f a ny m isrepresentation in a dvertising, p romotional m aterials o f th e s chool, or representations by the owner or representative of the school.

I certify I have read and agree to fully comply with the provisions of Chapter 132, Texas Education Code, Career Schools and

Colleges, and Chapter 807, Texas Administrative Code, Career Schools and Colleges, furnished by the school I will be representing.

 

Typed or printed name of applicant

 

Signature of Applicant

 

 

Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Sworn to and subscribed before me on this, the

 

day of

 

 

, 20

 

 

 

 

 

 

 

My Commission Expires:

 

 

 

 

 

 

 

Signature of Notary Public

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that the above named applicant has been given instructions concerning compliance with Chapter 132, Texas Education Code,

Career Schools and Colleges and is a duly qualified agent of this school.

Typed or printed name of School Official

 

Title of School Official

 

 

 

 

Signature of School Official

 

Date (mm/dd/yyyy)

 

______________________________________________________________________________________________________________________

Completed forms, inquiries, or corrections to the individual information contained in this form shall be sent to the TWC Career Schools and Colleges, 101 East 15th Street, Room 226T, Austin, Texas 78778-0001, (512) 936-3100. Individuals may receive and review information that TWC collects about the individual by emailing to open.records@twc.state.tx.us or writing to TWC Open Records, 101 E. 15th St., Rm. 266, Austin, TX 78778-0001.

______________________________________________________________________________________________________________________

Page 2 of 2

PS-014

PREVIOUS EDITIONS OF THIS FORM WILL NOT BE ACCEPTED

REV 03/11

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Guidelines on how to fill out ees stage 1

2. When this segment is done, you're ready add the essential details in Instructions A separate, Business Phone Number, If Yes answered complete form PSB, Yes, Yes, If yes briefly describe these, Have you ever had a permit to, If yes give name of state address, Yes, PREVIOUS EDITIONS OF THIS FORM, Page of, and PS REV so you're able to progress further.

Stage no. 2 in filling out ees

3. The following section is focused on Have you ever owned or operated a, If yes give name of state address, Have you performed any other, If yes give name of state address, Employment List employment for the, EMPLOYER, PRESENT ADDRESS, DUTIES, Yes, Yes, DATES MOYR, FROM, and TO I certify that the foregoing - fill out all these blanks.

If yes give name of state address, Yes, and Have you ever owned or operated a inside ees

4. Filling in TO I certify that the foregoing, Signature of Applicant Date, My Commission Expires, Typed or printed name of School, Typed or printed name of applicant, Signature of School Official, Signature of Notary Public, Title of School Official, Date mmddyyyy, and day of is essential in the next part - ensure to be patient and be mindful with each empty field!

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