TEA Secure Environment (TEA SE)

Request for Access:  CREDITS

CREDENTIAL INFORMATION TRACKING SYSTEM

To request a new TEA SE username, or to modify or revoke existing access to CREDITS, complete this form online, obtain the required signatures, and follow instructions for mailing or faxing the form.

Section 1:  Requestor Information

*Today's Date (MM/DD/YYYY)

*Date Required (MM/DD/YYYY)

*Last Name

*First Name

*Middle Name

*Date Of Birth

(MM/DD)

*Job Title

*Organization or TEA Division Name

*Work Address

*City

*Zip Code

*County/District Number or TEA Cost Center

*Region Number or TEA

*Phone Number

FAX Number

*E-mail address

 

* = Required information  

Section 2:  Type of Access or Modification Requested

Select one action:

I do not have a TEA SE username.  Please create one for me.

I already have a TEA SE username, which is 

     ADD access to CREDITS.  My job duties include this responsibility.

     MODIFY my access to CREDITS. My needs have changed.  Modification desired is:

         

     REVOKE my access to CREDITS.  My duties no longer include this responsibility.

     DELETE my access to all TEA SE applications.

Section 3:  Request for Access to Confidential Data

  • I understand that any user name and password assigned to me by TEA is to be considered private and confidential.  I also understand that this information cannot be shared.  I will neither divulge my password nor use a TEA SE username and password assigned to someone else.

  • I understand that I am responsible for all transactions made with my TEA SE username and password.

  • If I suspect that my password has been compromised, I understand that it is my responsibility to change it.

  • I agree that access to confidential data will be limited to the purpose specified above, and agree to limit the data I view to that necessary for that purpose.

  • I will not knowingly or intentionally enter any unauthorized data, or change any data without authorization.

  • I understand that procedures must be in place to monitor and protect confidential information.

  • I agree to notify the TEA Information Security office when my job responsibilities no longer require access to the requested information, or I terminate employment with my current entity.

  • In addition, I understand that any data sets or output reports that I, or my authorized representative, may generate using personal data are to be protected. I will not distribute to any unauthorized person any data sets or reports that I have access to or may generate using private or sensitive data. I understand that I am responsible for any computer transactions performed as a result of access authorized through my TEA SE username(s) and password(s).

Select one role:

Admin (Texas LEARNS) — Adds and updates information for all GREAT centers, fiscal agents, credential tracks and activities, and staff. Scores critical reflections, assigns credits, and granting time extensions. Can also perform individual GREAT Center Coordinator tasks.

GREAT Center Coordinator (Credential Project Staff)—Adds and updates information for individual GREAT center. Includes updating demographic and personal data, adding trainer and organizational information, scoring critical reflections, and assigning credit.

Fiscal Agent Director—Assigns local area teachers to system and to specific tracks. Monitors teacher progress. 

Director, Administrator, or Instructional Coordinator —Enters own products to create an electronic portfolio.  

Adult Educator—Enters own training information and reflections.

TEA User Educator


______________________

*Requestor's Signature

*Requestor's TYPED name

*Date requested

______________________ _____________

*Supervisor's Signature

*Supervisor's typed/printed Name

Date

(FA Director or HCDE Texas Learns Administrator)
 

(This part to be completed by Texas LEARNS Admin only.)

Person ID ____________________________

________________________________

_____________

Signature of Texas LEARNS Program Coordinator/Director Date

TEA SE username: _____________________________

___________________________

________________

Security Administrator Signature Date

Section 4: Submitting Your Request

To complete your application:  

1.  Print and sign the completed form.

2.  Submit the signed form to your director for approval.

3.  Mail or fax all pages of the application, signed by you and the Superintendent, to the address at the bottom of the page.  If you mail the request, be sure to retain a copy for your records.

For assistance, call 713-696-0700.

Texas LEARNS

6005 Westview Dr.
Houston, TX 77055

FAX:  713-696-0797