TEA - GED Request for access Non-traditional

	Texas Education Agency
	Request for Access to GED TEA SE Web Application
	GED Adult Education or Probation / Parole (this form is not for GED Test Centers or ISD/ESCs click here)

To request a new username, or to modify or revoke existing access to GED, complete this form online, obtain the required signatures, and follow instructions completely. To get access to GED system you need to 1. FAX this form and 2. apply on-line via TEASE, see Section 4 for instructions Your username will expire 12 months from issuance if there is no activity. Please access the GED system at least once every 12 months.

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 (ISD or ESC click here for your form)

*Work Address


*City	*Zip Code

*Phone Number	FAX Number

County

*E-mail address

* Required
Section 2: Type of Access or Modification Requested
Select one action: I do not have a TEASE Account. Click here to request a TEASE Account. Select General Education Development from the Select Application drop down menu. I already have a TEASE Account, which is To request access to GEDi, log onto TEASE from https://seguin.tea.state.tx.us/apps/logon.asp Once you have logged on, at the upper right hand corner of the screen click on [Add/Modify Application Access] button select General Education Development from the drop down menu ADD access to GED. My job duties include this responsibility. DELETE TEASE username and REVOKE my access to GED. KEEP my TEASE username and REVOKE my access to GED.
Section 3: Request for Access to Confidential Data
You have requested access to confidential information. Specific plans to protect the confidentiality of this information are needed in order to process this request. In lieu of specific plans, please provide information requested below:
I agree that my access to GED data (including student name, date of birth, social security number, test score, and any certificate issued) is for the following limited purposes:

	My purpose is to verify which tests were taken, if any, and corresponding test scores for students who have taken or expressed intention to take a test at this testing center.
	My purpose is to verify if a student who is no longer attending school, but has not left forwarding information, is enrolled in the GED program.
	Other (please specify and provide justification below):
	Overtype these lines to enter your justification.

*Who will have direct access to this confidential information? If the answer includes persons other than those specifically stated on the request form, do you have Confidentiality Agreements on file for them?

*What precautions have you taken to prevent unauthorized persons from viewing confidential data on the workstation monitor? Is the workstation located in a public or private area?

*If any of the student information is printed (for example, in a report or screen print), where is the printed information stored? If it is in a locked cabinet or area, who has access to that area?

*If other safeguards are in place to secure this information, please note these below:

I understand that any TEASE username or password assigned to me by TEA is to be considered private and confidential. I also understand that TEASE username information cannot be released to or shared with another person or entity.

I agree that access to confidential data will be limited to the purpose specified above, and I agree to limit the data I view to the data necessary for that purpose. I understand that procedures must be in place to monitor and protect confidential information.

I agree to notify the Security Administrator at TEA if my job responsibilities change or are terminated, and I no longer need access to this information.

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).

In addition, 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 using confidential data. I understand that I am responsible for any computer transactions performed as a result of access authorized by use of username and password(s).

I also 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.


*Requestor's Signature	Date

*Manager/Supervisor's Signature	*Manager/Supervisor's Typed Name

Section 4: Submitting Your Request

To complete your application:

1. You need a TEASE account in order to access the GEDi application:

In order to obtain a TEASE account click on the following link: https://seguin.tea.state.tx.us/appsng/um/apply.aspx
If you have a TEASE account, log onto TEASE from https://seguin.tea.state.tx.us/apps/logon.asp Once you have logged on, at the upper right hand corner of the screen click on [Add/Modify Application Access] button and select General Education Development.

2. Print and sign the completed form.

3. Submit the signed form to your manager or supervisor for approval.

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

GED

Texas Education Agency

1701 N. Congress Ave.

Austin TX 78701-1494 FAX: 512-463-9735

If this request for access is approved, you will be notified by email with a username and initial password once you complete the TEASE application. For speed of processing it is recommended to have completed the TEASE application before submitting this form. For information about how the GED system works click on the Help Menu from inside the GED application.

Texas Education Agency

Request for Access to GED TEA SE Web Application

GED Adult Education or Probation / Parole (this form is not for GED Test Centers or ISD/ESCs click here)

Section 1: Requestor Information

Section 2: Type of Access or Modification Requested

Section 3: Request for Access to Confidential Data

GED Adult Education or Probation / Parole
(this form is not for GED Test Centers or ISD/ESCs click here)