Going to Personal Physician:
You may go to your personal physician to have your tuberculosis test taken. If the results of this test are recorded on Mansfield University's Health Evaluation Report, then simply photo copy the side of the form with the TB result and turn it into the Field Experience Office. Please note that every education major needs to have one of three tests (TB Tine, Mantoux, or PPD) to prove that they are negative for Tuberculosis. This requires that the form indicates the date that the test result was negative, the doctor's signature, and the student's name. Please pay special attention to this requirement as the form is misleading. The form may lead you to believe that you are not required to have the test taken, but all education majors must have the test taken and have proof of the results turned into the Field Experience Office in 202.
Going to Campus Clinic in Spruce Hall:
You may visit the Campus Clinic in Spruce Hall to have your tuberculosis test taken. You should call 4350 in advance for an appointment. They will provide a three part form, one for their records, one for you, and one for you to bring to the Field Experience Office in 202 Retan. This visit will be free, but you will be charged for the serum. (Under $30)
FAST!! On-line ACT 34 Criminal Record Check request: Pennsylvania Access to Criminal History (on-line with credit card) Print two!! Take a copy to the Field Experience Office - RC 202
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 202
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 202
Updated 1/18/11 FBI Fingerprint Site in Wellsboro
There is a FBI scan site in Wellsboro at the Tioga County Courthouse.
By Appointment ONLY! M-F 9:00 - 12:00 & 1:00 - 3:00
Pre-register and pay fee on the cogentid site then call Penny Whipple for
an appointment 570-723-8231.
Links with helpful information regarding the Pennsylvania ACT 114 Fingerprinting effective 4/1/07:
ACT 114 FBI Clearance Q&A
Take all original documents along with copies to the Field Experience Office, Retan Center, Room 202
(Choose any of the following five options)
Be sure to print out 2 proof of membership forms – one for your records and one for the Field Experience Office - RC 202.
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 field experience, practicum, and/or student teaching assignment.
Pennsylvania Arrest/Conviction Report and Certification Form - Print, read, sign and take to the Field Experience Office - RC 202
Please choose any one of the following three options (any one of the three qualifies):
PA Family Support Alliance
You may participate in one of the monthly webinars for $10.00 or
You may take an online training - The $75.00 option will meet our requirements.
Mansfield University Early Field Experience Handbook. Read the Handbook, print pages six and seven, read, sign and take to the Field Experience Office - RC 202
YOU CAN SEE WHAT THE FIELD EXPERIENCE OFFICE HAS ON FILE FOR YOU BY CHECKING
Students can print out & sign to provide professors with proof that all clearances are on file with Field Experience Office.