Ospra 103 Form PDF Details

Facilitating the process for individuals aspiring to work within the City School District of the City of New York, the OSPRA 103 form plays a critical role. Created by the New York State Education Department's Office of School Personnel Review and Accountability, this document is a gateway for the transfer of criminal history record information, encompassing data from both the Division of Criminal Justice Services (DCJS) and the Federal Bureau of Investigation (FBI), to the New York City Board of Education (NYCBOE). Completing Sections 1 and 2 is a requirement set for applicants, who must then direct the form to the specified NYCBOE address listed in Section 4. The necessity of this form arises for those who have already submitted or are in the midst of submitting their fingerprints to the state's education department, with the ultimate aim of securing employment within the NYCBOE. It's highlighted that providing accurate information is paramount, as inaccuracies can lead to delays in the processing of applications. This process not only aids in maintaining a safe school environment but also ensures the integrity and reliability of the individuals entering the educational workforce, underlining the mutual benefit for both the applicants and the educational institutions involved.

QuestionAnswer
Form NameOspra 103 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesny ospra school form, ny ospra 103 authorization, new york 103 form, new york forward form

Form Preview Example

OSPRA 103 (10/07)

Authorization to Forward Criminal History

Record Information to the City School District of

the City of New York

Type or Print All Information

Office of School Personnel Review and

Accountability

NYS Education Department

ph: (518) 473-2998

www.highered.nysed.gov/tcert/ospra

OSPRA@mail.nysed.gov

Instructions to Applicant: Please complete Sections 1 and 2 and mail the form to the New York City Board of Education

(NYCBOE) address in Section 4.

Please Note: This form is to be filed by individuals who have submitted, or are in the process of submitting their fingerprints to the

New York State Education Department and are seeking employment with the NYCBOE.

Inaccurate information will delay processing.

SECTION 1

Name: (Last)

(First)

(Middle)

Sex: (M/F)

Home Address: (Street, Apt. #)

Social Security Number:

City, State, Zip:

Telephone: (Area Code and Number)

E-mail Address:

Date of Birth: (Month, Day, Year)

SECTION 2

I hereby authorize the Commissioner of Education to forward the content of my criminal history record as secured from DCJS and the FBI to the NYCBOE as a condition of my employment application with the NYCBOE. I further understand that the Commissioner of Education is authorized to forward subsequent criminal history notifications received from DCJS to the NYCBOE.

Signature:

 

Date:

 

SECTION 3

Signature of NYCBOE Office of

Personnel Investigation Representative:

SECTION 4

MAIL TO:

Division of Human Resources

HR Connect Walk-in Center

65 Court Street – Room 102

Brooklyn, New York 11201

Ph: (718) 935-4000 Fax: (718) 935-2726

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