Ospra 103 Form PDF Details

Are you looking to complete an Ospra 103 Form? If so, don't worry - we've got you covered! This blog post is designed to help guide you through the process of completing an Ospra 103 Form. We'll provide step-by-step instructions on filling out this important document accurately and efficiently. Plus, learn more about the specifics involving how an Ospra 103 filing impacts your business dealings with the government. Finally, discover tips and tricks to help ensure a successful submission so your application isn't rejected by administrators. Get ready to become an expert when it comes to filing using the Ospra 103 form!

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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ny ospra school form conclusion process detailed (step 1)

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Filling out part 2 of ny ospra school form

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