For Student Teaching:
Visit the Campus Clinic (#4350 for an appointment) in Spruce Hall for a TB Tine test. The Clinic will provide a portion of a three part form for you, and another for you to provide to the Field Experience Office - RC 202.
Visit your personal physician for a TB Tine test. Have your physician provide a prescription sheet, or office letter head including the following:
Patient name, social security number, and date of birth
Office name and location
Results (negative/positive) of TB Tine/Mantoux test
FAST!! On-line ACT 34 Criminal Record Check request: Pennsylvania Access to Criminal History (on-line with credit card) Print two!! Take copy to the Field Experience Office - 202 Retan Center
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
Please note: Students seeking employment in states other than Pennsylvania will want to check individual state clearance requirements to be prepared for job searching after student teaching. (Ex: New York State requires the OSPRA clearance. )
(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 practicum, field experience, or student teaching assignment.
Pennsylvania Arrest/Conviction Report and Certification Form - Print, read, sign and take to the Field Experience Office - RC 205
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.
Your ACT 126 must be less than 5 years old throughout your entire Student Teaching experience to be valid for Student Teaching. If you need to renew please take your original document along with a copy to the Field Experience Office, Retan Center, Room 202, prior to the established deadlines!
Application for Pennsylvania Certification
Monitor your mounties email account for application information from Certification Officer, Lori Cass and/or Cindy Kerr.