TEA Secure Environment (TEASE) | |
Request for Access: RF Tracker | |
External Users |
General Information: | |
A TEASE username and password are required to view and submit data in the Interventions system. To request a new TEASE account, request the Interventions application be added to an an existing TEASE account, or to modify or revoke existing access to the Interventions application, please complete this form and mail or fax to the address in Section 7. Your username and password will be issued to you via email. | |
Section 1A: User Information | |
Enter your personal information. This should be the information for whom access is being requested. | |
*First Name: | |
Middle Name: | |
*Last Name: | |
*Birth Month/Day: | |
*Job Title: | |
*Work Mailing Address: | |
*City: | |
*Zip Code: | |
*Phone Number: | |
(Provide direct number) | |
*Email Address: | |
(Please provide your individual work email address, not a group address) | |
* Indicates required information. | |
Section 1B: User Organization Information | ||
*LEA Name | ||
*County District Number | *Region Number | |
Section 2: Type of Access or Modification Requested | ||
Option 1 - New TEASE Account Setup - If you do not currently access any TEA automated applications through TEASE and need to have a username and password created, go to Option 1 and complete the information. Option 2 - Add the RF Tracker web application to an existing TEASE application - If you already have a TEASE username and password and need to add RF Tracker to your current list of available applications, go to Option 2 and complete the information. Option 3 - Delete access to the RF Tracker TEASE account - If you no longer need access to RF Tracker, go to Option 3 and complete the information.
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Section 3: Certification and Approval | ||
Review, sign, and date the "Requestor
Certification and Responsibility" statement. Then obtain the signature of
the superintendent from the district for which you are requesting access
or the ESC executive director for your ESC of employment. This signature
will act as official approval of your request. After you secure the
required signoff, please submit the application to TEA via fax or mail at
the address given below in Section 7. | ||
Requestor Certification and Responsibility | ||
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___________________________________ |
________________________________ | |
*User's
Signature |
Date | |
Section
4: Superintendent /ESC Executive Director
Signature | ||
Obtain the signature of the superintendent from the district for which you are requesting access. If you are an ESC User, obtain the ESC Executive Director's signature. | ||
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________________________________ | |
* District
Superintendent/ESC Executive Director Signature |
*Official's
Typed Name | |
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Section 5: TEA Division of Program Monitoring and Interventions Approval (TEA Staff ONLY) | ||
________________________________________ |
__________________ | |
*
Interventions Support Staff Name/Signature |
Date | |
Section 6: TEA SE Computer Access Coordinator Approval (TEA Computer Access ONLY) | ||
TEASE Username:_________________________________________________________________________ | ||
_______________________________________________________ |
________________ | |
TEA SE Computer Access Coordinator's Signature |
Date | |
Section 7: Submitting Your Request | ||
Mail or fax your request for TEA SE access to
the following address:
Interventions TEASE Support |
FAX: 512-463-9560 | |
For assistance in completing this form, please submit questions electronically to PMIDivision @tea.state.tx.us. Please be sure to include your name and a contact phone number (including area code), and be as specific as possible about the problem you are encountering. |