TEA Secure Environment (TEA SE)

Request for Access:  EMAT

Educational Materials Online

To request a new TEA SE username, or to modify or revoke existing access to EMAT, 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 and Middle Initial

*Job Title

*Organization

*Work Address

*City

*Zip Code

*County/District Number

*Region Number

*Phone Number

FAX Number

*E-mail address

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 EMAT.  My job duties include this responsibility.

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

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

     DELETE my access to all TEA SE applications.

Select one program role:

    Textbook Coordinator

    Textbook Coordinator's Assistant

Delivery Point Address:

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

• I will neither divulge my password nor use a TEA SE username and password assigned to someone else.

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

• 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 entity.

*Requestor's Signature

Date

*Superintendent's Typed Name

This area to be completed by TEA Program Coordinator:

Application role is always User.  There is no parameter to enter.

This area to be completed by TEA Security Coordinator:

TEA SE username:

Section 3: 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.

EMAT Coordinator

Rosemary Castillo
Texas Education Agency

Textbooks Administration

1701 N. Congress Ave.                           Phone:  512-463-9601

Austin TX  78701-1494                           FAX:     512-475-3612