A TEA SE
username and password are required to apply for a grant or to report
on grant activities in the eGrants system. To request a username,
to request that access to eGrants be added to an existing account,
or to modify or revoke existing access to the web 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 separate
emails.
*Indicates
required information.
Section 1A: User Information
Enter your
personal information. This should be the information for whom access is
being requested.
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*
*
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(Please provide your
individual address, where your userid and password can be
safely mailed.)
Section 1B: User Organization
Information
If your
organization does not have a County/District Number, enter
"N/A."
Your
organization's Texas Payee/Taxpayer ID Number, assigned by the State
of Texas Comptroller, is required to obtain access. If you do not
have one, you may secure one from this link: Obtain
a Texas Payee/Taxpayer ID (Vendor ID)
Number. If
you are unsure whether or not your organization has a Texas Payee/
Taxpayer ID number, please check with your business accounting
office before submitting an
application.
*
*
(If
applicable)
(If applicable)
*
(Vendor ID Number)
Section 2: Type of Access or Modification
Requested
If you already
have a TEA SE username, please provide it below. If not, please
indicate that you need a username. You must also select
one appropriate action you are asking TEA to take: ADD,
MODIFY, DELETE, or REVOKE access.
TEA SE
Username
username, which is
Requested
Action
Section 3: Selection of Single eGrants TEA SE User Role
Select a single role appropriate for the
level of access that you need. General definitions of each role are
given below.
Section 4: Certification and
Approval
Review, sign and date the “Requestor
Certification and Responsibility” statement. Then obtain your
District Superintendent's or Chief Executive Officer’s signature to
approve your access request. After you secure the required signoff,
please submit the application to TEA via mail or fax to the address
in Section 7.
Request for Access to
Confidential Information
I understand that confidential
information is any information that has the potential to identify
a student, including aggregates with fewer than five members;
social security numbers of students or staff; and email addresses
of members of the public.
I agree that access to confidential
data will be limited to the purpose intended by the eGrants
application, and agree to limit the data viewed to that necessary
for that purpose.
I understand that any unauthorized
disclosure of confidential student information is illegal as
provided in the Family Educational Rights and Privacy Act of 1974
(FERPA) and implementing federal regulations found in 34 CFR, Part
99. FERPA is specially incorporated into the Texas Open Records
Act as an exception to records that are subject to disclosures to
the public (Government Code, Section 552.026).
I understand that any data sets or
output reports that I, or my authorized representative, may
generate using confidential 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 containing confidential
data.
I understand that release of
confidential student information is prohibited by the Texas
Government Code, Section 552.352, and that such an offense
constitutes a Class A misdemeanor.
I certify that the information
contained in the registration form is, to the best of my
knowledge, correct and that the education agency for which I work
has authorized me as a representative. I further certify that any
ensuing program and activity will be conducted in accordance with
all applicable Federal and State laws and
regulations.
Requestor Certification
and Responsibility
I understand that my username and
password are CONFIDENTIAL and may not be shared with another
person or entity under any circumstances whatsoever.
I will neither divulge my password nor
use a username and password assigned to someone else.
I understand
that I am legally responsible for all transactions made with my
username and password.
If I suspect that my password has been
compromised, or that someone else has used my account, I
understand that it is my responsibility to change my password
immediately.
I will not knowingly or intentionally
enter any unauthorized data, or change any data without
authorization.
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 organization.
I understand my username and password
will expire 15 months from issuance if there is no activity. I
will access the eGrants system at least every 12 months to keep my TEA
SE username active.
___________________________________
________________________________
*Requestor's
Signature
Date
The
Superintendent or Executive Director
is responsible for approving the person listed in Section
1A and the role requested in Section 3, revoking the username of
persons who are no longer responsible for grant applications, or
deleting persons whose employment has been terminated. By signing
this form, the Superintendent or Executive Director acknowledges and
accepts these
responsibilities.
_________________________________________
*Signature of Superintendent
or Executive Director
*Executive Director Typed
Name
Section 5: TEA Office of Planning, Grants and
Evaluation Approval (TEA STAFF ONLY)
Mail or fax this form to the
following address or fax number. Please allow up to 2 weeks for access to be
completed.
eGrants Support Texas
Education Agency Office of Planning,
Grants & Evaluation 1701 N. Congress Ave. Austin TX 78701-1494
FAX: 512-463-9564
PHONE: 512-463-7025
For assistance
in completing this form, please submit questions electronically to
eGrants@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.
