Ospra 102 Form PDF Details

The OSPRA 102 form, originating from the Office of School Personnel Review and Accountability (OSPRA) within the New York State Education Department, serves as a crucial document in the hiring process for individuals seeking employment in educational settings who have previously undergone fingerprinting through specific New York State Education Department (SED) or New York City Department of Education (NYCDOE) protocols. This form facilitates a "Clearance for Employment," which is a fundamental requirement ensuring that prospective employees have been vetted and approved for working within educational environments. Through a meticulous process where sections require completion by both the prospective employee and the employing educational institution—be it a school district, charter school, or BOCES—the form underscores the importance of accuracy, completeness, and legibility to avoid any delays in processing time. Besides personal and professional details, the form also involves an authorization section whereby the applicant grants the Commissioner of Education the authority to conduct a review of their criminal history record, a step intertwined with compliance to the Commissioner's Regulations. This ensures a thorough vetting process aimed at maintaining safety and integrity within educational settings. Moreover, the form contains clear instructions on its handling, including contact information and mailing instructions, underscoring the procedural aspects of securing employment within New York’s educational system.

QuestionAnswer
Form NameOspra 102 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesospra, fillable ospra 102, nys ospra, nyssed ospra 102

Form Preview Example

OSPRA 102 (1/03)

Clearance For Employment Request Form

Type or Print All Information

Office of School Personnel Review and

Accountability

NYS Education Department

987 Education Building Annex

Albany, NY 12234

ph: (518) 473-2998 fax: (518) 473-8812

www.highered.nysed.gov/tcert/ospra

OSPRA@mail.nysed.gov

Instructions

This form is to be filed to secure a "Clearance for Employment" for an individual who has been previously fingerprinted on New York State Education Department (SED) fingerprint cards or the New York City Department of Education (NYCDOE) fingerprint cards.

Sections 1 and 3 are to be completed by the prospective employee.

The school district, charter school or BOCES must complete section 2.

Type or print all information. Inaccurate, incomplete or illegible information will delay processing.

SECTION 1

Name: (Last, First, Middle Initial)

Social Security Number:

Date of Birth: (00/00/0000)

Mailing Address

City

State

Zip

SECTION 2

(This section MUST be completed by the school district, charter school or BOCES)

•Please neatly print, type or attach a label in the box below with the name and mailing address of the fingerprint contact person of the school district, charter school or BOCES.

•This form will be returned to the person identified below if SED has no fingerprint application on file for the above individual as of the "OSPRA Processing Dates."

•Make no other marks in the box below or the box to the right of this space.

OSPRA Processing Dates

(leave blank)

First 6 digits of school BEDS or CS-ID #:

Charter Schools: Please contact OSPRA to

obtain your specific CS-ID number:

Title of position employee will be placed in:

Signature of employer representative or fingerprint contact person:

Date:

Telephone # of fingerprint contact person:

SECTION 3

1.I have read "Fingerprinting Information and Instructions" issued by the State Education Department and (SED) have previously submitted fingerprints to SED pursuant to the SAVE legislation.

2.I understand that if I have any questions about my rights, I may contact the OSPRA office at (518) 473-2998. .

I hereby authorize the Commissioner of Education to review my criminal history record as secured from DCJS and the FBI for the purposes of conducting a determination on a Clearance for Employment as a condition for my new employment. I understand that the Commissioner will forward such final determination to my prospective employer in accordance with Part 87 of the Commissioner's Regulations. I further understand that once the Clearance for Employment is issued, the Commissioner of Education is authorized to forward certain information regarding any subsequent criminal history notifications from DCJS to my new employer

Signature:Date:

 

 

 

SECTION 4

 

 

 

 

 

 

 

 

 

 

Mail or fax

OSPRA

 

 

 

 

NYS Education Department

 

 

 

 

 

 

 

 

 

completed

987 EBA

 

 

 

 

OSPRA 102 to:

Albany, NY 12234

 

 

 

 

fax: (518) 473-8812

 

 

How to Edit Ospra 102 Form Online for Free

By using the online tool for PDF editing by FormsPal, you can easily complete or edit ospra 102 form right here. Our tool is constantly evolving to give the best user experience achievable, and that is due to our commitment to continuous enhancement and listening closely to comments from customers. This is what you'll want to do to start:

Step 1: Open the PDF inside our editor by clicking on the "Get Form Button" above on this page.

Step 2: This tool helps you work with PDF forms in many different ways. Modify it by writing any text, adjust what is originally in the PDF, and put in a signature - all within the reach of a couple of mouse clicks!

When it comes to blank fields of this particular document, this is what you need to know:

1. It's vital to complete the ospra 102 form correctly, therefore be attentive when working with the areas that contain these blank fields:

ospra completion process shown (stage 1)

2. Now that the last part is complete, you're ready add the needed specifics in Charter Schools Please contact, obtain your specific CSID number, Title of position employee will be, Signature of employer, Date, Telephone of fingerprint contact, SECTION, I have read Fingerprinting, I hereby authorize the, Signature, Date, Mail or fax completed OSPRA to, SECTION, OSPRA, and NYS Education Department in order to go further.

Writing segment 2 of ospra

As for SECTION and Title of position employee will be, be certain that you don't make any errors here. The two of these are surely the most significant fields in the document.

Step 3: Right after proofreading your form fields, hit "Done" and you are good to go! Join FormsPal right now and instantly use ospra 102 form, set for downloading. Each and every modification made is handily saved , so that you can customize the form at a later point as needed. FormsPal ensures your data confidentiality via a secure system that never saves or distributes any type of sensitive information used. Rest assured knowing your docs are kept safe every time you use our tools!

Ospra 102 Form isn’t the one you’re looking for?

Related Documents