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Navigating the complexities of educational permits and authorizations in West Virginia, especially for roles that interact closely with students like coaches and athletic trainers, requires a comprehensive understanding of various forms, including the WV 39 form. Created by the Office of Professional Preparation, this form serves as a critical checklist and application for individuals seeking permits or authorizations that necessitate an employment check. It is meticulously designed to cover an array of vital information, starting from basic applicant details to more sensitive disclosure of background information, ensuring that all candidates meet the rigorous standards set forth for educational professionals in West Virginia. The form also emphasizes the importance of disclosures related to any prior adverse actions against certifications or licenses, allegations of misconduct, or any criminal charges, underscoring the state's commitment to maintaining high moral and professional standards in its educational system. Furthermore, the form details the process for submitting fingerprints for a background check, a step that reinforces the safety and integrity of the educational environment. With fields specifically for coaching, athletic training, and limited football training authorizations, it caters to a diverse range of roles within school systems. Each section demands detailed documentation, from educational qualifications to professional endorsements, ensuring that every candidate is thoroughly vetted. This careful amalgamation of requirements reflects the diligent efforts of West Virginia’s educational authorities to safeguard students while fostering an environment where sports and physical education can thrive under the guidance of qualified and ethically sound individuals.

Wv 39 Example

 

 

 

 

 

 

Office of Professional Preparation

Applicant Information Page for Permits/Authorizations that Require Employment

 

 

 

 

 

Check if applicable:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Self or spouse on Active Duty

 

 

 

 

 

 

 

 

 

 

 

Building 6, Room 722

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Received by County Board of Education:

____________________________

 

 

 

 Self or spouse within 6 months after

 

 

 

 

 

 

 

 

 

1900 Kanawha Boulevard East

 

 

 

 

 

 

 

 

 

 

 

 

 

Charleston, WV 25305

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Active Duty

 

 

 

 

 

 

 

 

 

 

 

304-558-7010 7/01/14

 

 

Date Received by Institution of Higher Education: ___

_________________

 

 

 

See our website for additional documents required.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part 1 -Applicant Information

 

 

 

 

Part 2-Disclosure of Background Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_________________

 

__________________

 

_____________

_________________

 

_____________________

If you answer yes to any question

 

 

 

 

 

 

 

 

 

 

Documentation Attached

 

 

 

 

 

below, SUBMIT a narrative with

 

 

 

 

Social Security Number

Birth Date (MM-DD-YYYY)

Gender (M or F)

US Citizen ( Y or N)

US Veteran or Spouse of veteran

your

 

application.

The narrative

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( Y or N) If Yes complete box -top right

should include dates, locations, school

NO

 

 

____________________________________

______________________________ _____ ________________________________________

systems, and all/any other information

 

 

Last Name

 

 

 

First Name

 

 

 

 

 

 

 

MI

Previous Last Name (Maiden)

 

that

explains the

circumstance(s) in

 

 

(If your name has changed since your last application, proof of name change must be attached e.g. photocopy of marriage certificate, etc.)

detail.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________________________________________________ _____________________________________ _______ ______________

1) Have you ever had adverse action

 

 

 

 

 

taken

against

any

application,

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

certificate, or license in any state?

 

 

 

 

 

__________________________________ ___________________________________ ____________________________________________

Adverse

action

includes

but is

not

 

 

 

 

 

limited

to

the

following: letter of

 

 

 

 

 

Primary Phone

 

Secondary Phone

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

warning, reprimand, denial, suspen-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List the institutions from which a degree has been earned

 

 

 

Are you currently employed by

 

Do you currently hold a License to

sion,

revocation,

voluntary surrender

 

 

 

 

 

 

 

a West Virginia School System?

 

work in the public schools of West

or cancellation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

Virginia?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College/University

 

Degree

 

Date

 

 

 

 

 

2) Have you ever been disciplined,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If YES, please indicate the

 

Do you currently hold a License to

reprimanded,

suspended,

or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

school system:

 

 

work in the public schools of an-

discharged

from

any

 

employment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

other state?

 

because of allegations of misconduct?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3) Have you ever resigned, entered

 

 

 

 

 

 

 

 

 

 

 

Part 3—Applicant Signature

 

 

 

 

 

 

 

into a settlement agreement, or oth-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

erwise left employment as a result of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

alleged misconduct?

 

 

 

 

 

 

 

 

I swear or affirm under the penalty of false swearing that all information provided in or with this application is true, correct, and complete to the best of my knowledge. I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4) Is any action now pending against

 

 

 

 

 

understand that any false statements, misrepresentations, or omissions of fact in or with this application are grounds for denial, suspension, or revocation of the license(s)

 

 

 

 

 

that I am seeking or currently hold.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

you for alleged misconduct in any

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

school district, court, or before any

 

 

 

 

 

___________________________________________

 

 

__

 

 

 

 

_________________________

 

 

 

educator licensing agency?

 

 

 

 

 

 

Signature of Applicant

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5) Have you ever been arrested,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A non-refundable fee is required for each application. You may pay

 

 

 

 

 

Supporting documentation attached:

 

charged

with,

convicted

of, or

are

 

 

 

 

 

online at https://wveis.k12.wv.us/certpayment/.

Applications attached:

 

 

 

 

 

(non-fee required Forms, e.g. Forms 4B, 7, V10, V16)

currently under indictment for a felo-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________ ______________

______________

 

 

 

______________

______________ ______________

ny? *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form #

Form #

 

 

Form #

 

 

 

 

 

 

 

Form #

 

Form #

 

Form #

 

6) Have you ever been arrested,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

charged with or convicted of a

mis-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part 4—Fingerprinting Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

demeanor? (For the purpose of this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

application,

minor traffic violations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First-time applicants are required to have fingerprints processed by L-1 Solutions (L1enrollment.com).

 

should not be reported) Charges or

 

 

 

 

 

I have previously received Certification in WV and understand that I do not need to re-submit my fingerprints.

convictions for driving while intoxicat-

 

 

 

 

 

ed (DWI) or driving under the influ-

 

 

 

 

 

I have never held WV Certification and have recently submitted my fingerprints to L1 Solutions on ______/______/_________

ence of alcohol or other drugs (DUI)

 

 

 

 

 

 

 

 

 

(L1 Transaction #________________________)

 

 

 

 

 

 

must be reported. *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part 5 - Superintendent Recommendation (Required for Permit/Authorization Application)

* For a YES response to items 5 & 6, the follow-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that I have reviewed and can attest to the accuracy and truthfulness of the information provided in this application.

When necessary, I have

ing must be included for all charges, including

 

 

included documentation verifying this information. I have reviewed the disclosure of background information, and, to the best of my knowledge, the

those that have been dismissed or expunged: 1)

 

 

applicant is of good moral character and is physically, mentally, and emotionally qualified to perform the duties of a teacher. I recommend that s/he be

Judgment Order; OR 2) Final Order; OR 3) Mag-

 

 

granted certification.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

istrate Court Documentation; AND 4) all other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

____________________________________

 

 

_________

_____________________________

________________________________

relevant court documentation.

 

 

 

 

 

Signature of Superintendent

 

 

 

 

 

 

 

County

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 39-Temporary Authorization for Coaches, Athletic Trainers, & Limited Football Trainers

Social Security Number: ________________________

Last Name: ____________________________ First Name: _________________________ MI: ____

REV 20130718

Coaching

Limited Football Trainer

Athletic Trainer

 

 

 

Original Coaching Authorization

Proof of High School Diploma or Equivalent

Proof of Completion of WVSSAC Coaching Principles

Proof of Completion of WVSSAC First Aid Course

Proof of Completion of WVSSAC Association Course

**Must also complete 1, 2, and 3 below

Renewal of Coaching Authorization

1-____________________________________________

Job Posting Date

2-_____________________________________________

Employment Begin Date

3-_____________________________________________

School Year

WVBE Policy 5202 §126CSR136 11.8.1.I requires the applicant for this Authorization to possess the minimum of high school diploma or GED, be employed under contract with a board of education to serve as a coach, attend appropriate WVSSAC-sponsored professional development and receive the recommendation of the county superintendent verifying that no currently employed, professionally licensed educator applied for the position.

Original Limited Football Trainer

Authorization

I have enclosed the following :

Copy of Current Health Care Provider License (M.D., R.N., P.T., E.M.T, etc.)

Affirmation of in-person attendance at the WVSSAC Athletic Trainer Rules Clinic

Date Attended: ____________________

Proof of High School Diploma or Equivalent

**Must also complete 1 and 2 below

Renewal of Limited Football

Trainer Authorization

I have enclosed the following :

Copy of Current Health Care Provider License (M.D., R.N., P.T., E.M.T, etc.)

Date Attended: _____________________

1-_____________________________________________

Employment Begin Date

2- ————————————————————————————

School Year

WVBE Policy 5202 §126CSR136 20.3 allows this authorization to be issued in the event the county board of education cannot obtain Athletic Trainers as described in §20.3.1.

Original Athletic Trainer Authorization

Proof of VALID NATABOC certification enclosed

Proof of registration with WV Board of

Physical Therapy

**Must also complete 1 and 2 below

Renewal of Athletic Trainer Authorization

Proof of VALID NATABOC certification enclosed

Proof of registration with WV Board of

Physical Therapy

1-_____________________________________________

Employment Begin Date

2-_____________________________________________

School Year

WVBE Policy 5202 §126CSR136 20.2 requires the applicant for this Authorization to hold a minimum of a high school diploma or GED and be certified through the National Athletic Trainers Association Board of Certification (NATABOC) and who has registered with the West Virginia Board of Physical Therapy.

Applicant Information Page must be attached.

Form Specifications

Fact Detail
Governing Law WVBE Policy 5202 §126CSR136
Purpose The form is used for the application of Temporary Authorization for Coaches, Athletic Trainers, & Limited Football Trainers in West Virginia.
Eligibility Requirements Applicants must have a minimum of a high school diploma or GED, meet specific professional development or certification requirements, and receive a recommendation from the county superintendent.
Additional Requirements for Specific Authorizations Additional documentation and certifications are required depending on the type of authorization sought, such as proof of completion of WVSSAC Courses for Coaches or valid NATABOC certification for Athletic Trainers.

Guide to Filling Out Wv 39

After gathering all the necessary information, it's essential to approach filling out the WV 39 form with attention to detail. This form requires an accurate and comprehensive portrayal of your professional background, any disclosures relating to your background, and specific details about your licensing and certifications. Ensure that all sections are filled out completely and accurately to prevent any delays in the processing of your application.

  1. Start by filling out the top section with the date you received by the County Board of Education and, if applicable, the date received by the Institution of Higher Education.
  2. In the "Applicant Information" section (Part 1), enter your personal information, including your last name, first name, middle initial, previous last name if applicable, social security number, birth date, gender, and US citizen status. Indicate if you or your spouse are on active duty or within six months after active duty.
  3. Provide your contact information, including your street address, city, state, zip code, primary phone, secondary phone, and email address.
  4. Answer the "Disclosure of Background Information" section (Part 2) questions honestly. If you answer "yes" to any questions, attach a detailed narrative explaining the circumstance(s) including dates, locations, school systems, and all relevant details.
  5. List the institutions from which a degree has been earned including the college/university name, degree, and date awarded.
  6. Indicate your current employment status within a West Virginia School System and whether you currently hold a License to work in the public schools of West Virginia or another state.
  7. Under "Applicant Signature" (Part 3), read the statement carefully, then sign and date the form to affirm all provided information is accurate and complete.
  8. For the "Fingerprinting Information" section (Part 4), check the appropriate box regarding your fingerprint submission based on if you've previously received Certification in WV or if you have never held WV Certification and have submitted your fingerprints to L1 Solutions.
  9. In the "Superintendent Recommendation" (Part 5), ensure that this section is completed and signed by the superintendent to verify your qualifications.
  10. Depending on the specific authorization or permit you are applying for, such as Coaching, Limited Football Trainer, or Athletic Trainer (detailed at the bottom of the form), ensure to attach all required documentation as listed under each category.
  11. Review the entire form for completeness and accuracy. Attach any additional documents as required, including proof of name change if applicable, supporting documentation for any "Yes" responses in the Disclosure Background Information, and any required documentation based on the specific authorization or permit you're applying for.
  12. Submit the completed form along with any necessary payment for the non-refundable application fee online, as indicated under the "Applicant Signature" section.

By following these detailed steps, you can ensure that your WV 39 form is accurately completed and submitted, setting a solid foundation for the processing of your application.

Things You Should Know About Wv 39

What is the purpose of the WV 39 form?

The WV 39 form serves a multifaceted purpose, primarily designed for individuals seeking permits or authorizations related to educational roles in West Virginia. These can include assignments such as coaching, athletic training, or operating in capacities that require a temporary authorization. A critical aspect of the form is its emphasis on background checks, ensuring candidates are thoroughly vetted for their suitability in educational environments. It requests detailed information from the applicant, including previous employment history, educational qualifications, and any history of disciplinary action or legal issues, aiming to maintain high standards of professionalism and safety within schools.

Who needs to fill out the WV 39 form?

The WV 39 form must be completed by individuals who are applying for permits or authorizations that allow them to work in specific roles within the West Virginia school system. This includes, but is not limited to, coaches, athletic trainers, and limited football trainers seeking temporary authorization. The detailed nature of the form ensures that only qualified and vetted individuals engage with students, promoting a safe and conducive learning environment. Candidates who are either new applicants or looking for renewal of existing permits are required to navigate this process.

What information do I need to provide in the Disclosure of Background Information section?

In the Disclosure of Background Information section, applicants are asked to address several critical questions that review their past conduct and any legal or professional issues they might have faced. This includes whether they've had any adverse action taken against their professional licenses, been disciplined or discharged from employment due to misconduct, resigned or left a position under allegations of misconduct, have any pending actions for alleged misconduct, or have been arrested or convicted of any felonies or misdemeanors. For any question answered "yes," a narrative providing complete details such as dates, locations, and the nature of the incident is required. This ensures a comprehensive review of the applicant's background and promotes transparency in the selection process.

How does the fingerprinting process work for first-time applicants?

First-time applicants are required to undergo a fingerprint process conducted by L-1 Solutions, as stipulated in the form. This measure is an additional layer of background check designed to verify the applicant’s identity and uncover any criminal record that might not have been disclosed voluntarily. Those who have never been certified in West Virginia or need to submit their fingerprints for the first time due to other reasons must complete this step online through L1enrollment.com and include their transaction number in the specified section of the form. This process helps ensure that all candidates for authorization in educational roles meet the strict safety and ethical standards set by the state.

Common mistakes

When filling out the WV 39 form for permits or authorizations that require an employment check, applicants commonly make several mistakes that can delay or negatively impact the processing of their applications. Understanding and avoiding these mistakes is crucial to ensure a smooth application process.

  1. Not checking the appropriate boxes at the top of the form to indicate if the applicant or their spouse is on active duty or within 6 months after active duty. This oversight can lead to incomplete information being submitted, which might affect the application's consideration.

  2. Failure to attach proof of name change if the applicant's current name is different from the name on their last application. This is crucial for verifying the identity of the applicant and ensuring that their records are correctly updated and maintained.

  3. Omitting relevant dates, locations, school systems, and other pertinent details when answering questions in Part 2 about adverse actions, discipline, or convictions. Such incomplete responses can significantly delay the review process as further clarification will be required.

  4. Incomplete submission of required documentation such as Judgment Order, Final Order, Magistrate Court Documentation, and other relevant court documentation for any charges, including those dismissed or expunged, mentioned in the disclosure of background information. This comprehensive documentation is vital for a thorough review of the applicant's suitability for certification.

  5. Forgetting to sign and date the application in Part 3, which serves as an affidavit asserting that all information provided is true, accurate, and complete. Unsigned applications cannot be processed as they lack the official attestation of the applicant’s honesty and compliance.

  6. Missing superintendent endorsement in Part 5, where the superintendent must attest to the applicant's qualifications and recommend them for certification. This endorsement is a required component of the application process, supporting the applicant’s character and capability.

Each of these mistakes can delay the processing of the WV 39 form, potentially impacting an applicant’s employment and authorization status. Applicants are encouraged to review their forms carefully, ensuring all necessary documentation is attached and all sections are completed accurately. This attention to detail will contribute to a smoother review process and increase the chances of successful application approval.

Documents used along the form

The submission of the WV 39 form, essential for obtaining the necessary permits or authorizations linked to employment in educational settings, frequently involves the inclusion of various other forms and documents. These additional items are integral to ensuring the completeness and accuracy of one’s application, offering a comprehensive overview of an applicant's qualifications and background. Understanding these supplementary documents is crucial for a seamless application process.

  • Proof of Name Change Documentation: Applicants who have changed their name since their last application are required to provide evidence of this change, such as a marriage certificate photocopy, to ensure their records are updated.
  • Narrative for Disclosures: If an applicant answers positively to any queries about past disciplinary actions or misconduct, a detailed narrative must be attached to the application. This narrative should include dates, locations, school systems involved, and an exhaustive explanation of the circumstances.
  • Fingerprinting Documentation: New applicants, or those previously certified in WV needing to update their records, must submit evidence of fingerprint processing through an approved agency like L-1 Solutions. This documentation is crucial for the background check process.
  • Superintendent Recommendation: A form or letter of recommendation from a county superintendent that attests to the applicant’s character and qualifications for the permit or authorization being sought. This recommendation is necessary for the application of permits or authorization.
  • Diploma or Degree Certificates: Copies of diplomas or degrees earned, verifying the educational qualifications of the applicant, must be furnished. High school diplomas or GED certificates are minimum requirements for some authorizations.
  • Proof of Completion for Specific Courses: For certain authorizations, such as those for coaching, applicants must provide certification of completed courses relevant to the role. Examples include the WVSSAC Coaching Principles course or First Aid course.
  • Professional License Copies: For roles that require professional licensure, such as Athletic Trainers, applicants must include copies of their current, valid license from the appropriate licensing board.
  • Registration with Professional Boards: For specific authorizations, such as the Athletic Trainer Authorization, proof of registration with professional boards, such as the WV Board of Physical Therapy, must be provided.

Understanding and preparing these documents in advance simplifies the process, ensuring that applicants can provide a full and accurately vetted application. This comprehensive documentation supports the assessment and verification of an applicant's readiness and suitability for the roles they wish to undertake within the educational system. As such, each form and document plays a pivotal role in the overall application process, assisting in the smooth transition toward employment.

Similar forms

The WV 39 Form shares similarities with various other professional and legal documents. These documents are typically used in different fields for the purpose of employment, certification, or professional authorization. Understanding these similarities can help in comprehensively grasping the purpose and utility of the WV 39 Form.

Firstly, the Form I-9, Employment Eligibility Verification, is a document similar to the WV 39 Form as it gathers personal and employment eligibility information from employees. The key similarity lies in the verification process, ensuring that individuals are authorized to work, albeit the I-9 has a broader national application for all employees in the U.S., focusing on verifying eligibility to work in terms of citizenship or visa status.

Another comparable document is the Teacher Certification Application used by many states. This application captures personal information, educational background, and professional qualifications akin to the WV 39 Form. It focuses on evaluating an applicant's credentials for issuing teaching licenses or certificates, emphasizing the applicant’s educational achievements and professional suitability for teaching roles.

The National Provider Identifier (NPI) Application Process also mirrors the WV 39 Form in certain aspects. It is designed for healthcare providers to obtain a unique identification number necessary for billing and transactions. Both forms collect detailed personal information and require disclosures about professional background, though the NPI process is specific to healthcare billing.

Employment Applications typically requested by organizations during the hiring process bear resemblance in gathering applicant information, including past employment and educational history. These forms often include questions about why previous employments ended, similar to the disclosure questions about adverse actions or misconduct in the WV 39 Form.

Professional Licensing Applications across various fields, like law, medicine, or engineering, also share similarities. These applications require detailed personal information, educational background, and often, a history of any disciplinary actions or legal issues, mirroring the comprehensive nature of disclosure seen in the WV 39 Form.

The Security Clearance Application is another document with parallels to the WV 39 Form. It delves deep into an applicant's background, including past residencies, employment history, and any legal issues, to assess trustworthiness and reliability for national security positions. Like the WV 39 Form, it includes thorough checks to ensure the applicant’s suitability for a sensitive role.

The Background Check Authorization Form often used by employers, is closely related as well. It requests permission to perform criminal, financial, and sometimes educational background checks on an applicant. While the WV 39 Form itself is not a permission slip for background checks, it does request similar personal information and disclosures that would be verified through such checks.

Lastly, the Child Abuse Clearance Forms required for individuals working with minors, in various capacities, reflect aspects of the WV 39 Form. These forms are crucial for ensuring that those working with children have no history of harmful behavior. By requiring disclosures about past misconduct or legal issues, similar rigorous scrutiny is applied to protect vulnerable populations.

Dos and Don'ts

When completing the WV 39 form for authorizations or permits that require an employment check, it's essential to follow guidelines carefully to ensure your application is processed correctly and efficiently. Below are key dos and don'ts:

  • Do check for accuracy in all the information you provide, including your personal details like name, address, and Social Security Number. Inaccuracies can delay or jeopardize your application.
  • Do disclose any required background information fully. If you need to answer "yes" to any of the disclosure questions, include a detailed narrative explaining the circumstances, as requested.
  • Do attach proof of name change if your current name differs from the name on previous applications, including marriage certificates or court orders.
  • Do make sure to sign and date your application. An unsigned application is considered incomplete.
  • Don't omit any relevant documentation for the background disclosure section. Include all required court documents or settlement agreements if applicable.
  • Don't include minor traffic violations unless specifically required, but do report any DUI or DWI as stipulated.
  • Don't forget to pay the non-refundable application fee online, as applications without the processing fee will not be considered.
  • Don't overlook the need for fingerprinting if you're a first-time applicant or if instructed to do so, even if you've previously been certified in WV. This step is crucial for background checks.

Adhering to these guidelines will streamline the application process, helping to avoid delays and potential issues that could impact your eligibility for the permit or authorization you're seeking.

Misconceptions

When navigating the complexities of the WV 39 Form, it's crucial to clear the air about common misconceptions that can lead to confusion. This form, integral for permits and authorizations within West Virginia, often gets misunderstood due to lack of information or misleading knowledge. Below are ten misconceptions about the WV 39 form, diligently explained to foster a thorough understanding of the form's purpose and requirements.

  • It's only for teachers: A common misunderstanding is that the WV 39 form is exclusive to teachers. In reality, the form is used for various professionals seeking permits or authorizations, including coaches, athletic trainers, and limited football trainers, who require employment checks and verification.
  • Personal narrative is optional: If an applicant answers "yes" to any question regarding disciplinary actions, a detailed personal narrative is mandatory, not optional. This narrative should include relevant dates, locations, and contexts to provide a full understanding of the circumstances.
  • Fingerprinting is always required: First-time applicants must submit fingerprints. However, individuals who have previously received certification in West Virginia and are not applying for the first time may not need to resubmit their fingerprints, debunking the idea that fingerprinting is a blanket requirement for all.
  • Any criminal history must be disclosed: While transparency is critical, the form specifies that minor traffic violations, except DUI or DWI, should not be reported. This nuance is important for accurately disclosing one’s background information without overreporting unnecessary details.
  • No need for court documentation if charges were dismissed: Even if charges were dismissed or expunged, applicants must provide all relevant court documentation for any criminal history. This includes judgment orders or magistrate court documentation, ensuring a comprehensive background check.
  • Educational qualifications are universally stringent: The form caters to a range of positions, each with its educational requirement. For instance, coaching authorization requires a minimum of a high school diploma or equivalent, while specific permits might demand higher education credentials.
  • US citizenship is a must: The form asks for citizenship status but does not explicitly state that only US citizens can apply. It's essential for applicants to provide accurate information regarding their citizenship without assuming automatic disqualification based on non-citizen status.
  • It's solely an employment form: While the WV 39 form requires employment checks, it serves a broader purpose by also including sections for professional preparation, background disclosure, and fingerprinting information, making it multifaceted rather than solely employment-focused.
  • Immediate processing upon submission: The process involves several steps, including review by the County Board of Education and potentially, the Institution of Higher Education. This can take time, and immediate processing is not guaranteed.
  • No need for Superintendent Recommendation for all permits: While many permits and authorizations do require a Superintendent Recommendation, terms may vary. It's crucial to review the specific requirements of the applied permit or authorization, including whether such a recommendation is necessary.

Understanding the WV 39 Form is foundational for ensuring the accuracy and completeness of one’s application. By demystifying common misconceptions, applicants are better positioned to navigate the process confidently, ensuring they fulfill all necessary requirements for their respective certifications, permits, or authorizations.

Key takeaways

When you're filling out and using the WV 39 form, there are several important points to keep in mind. Here's what you need to know:

  • Complete all sections accurately: The form requires detailed information about your personal background, education, and employment history. It's crucial to provide accurate and complete information in every section to avoid delays in processing.
  • Include supplemental documents: In certain cases, additional documentation is necessary, especially if you answer "yes" to any questions in Part 2 regarding adverse actions against your license, discipline, or convictions. Be prepared to submit narratives or other documents that provide context and details about these instances.
  • Proof of name change: If your name has changed since your last application, you must attach proof of this change, such as a marriage certificate or court order.
  • Fingerprinting requirement: First-time applicants must have their fingerprints processed. If you have previously been certified in WV and your fingerprints were submitted then, you do not need to resubmit them. Make sure to indicate your fingerprinting status accurately in Part 4.
  • Payment of non-refundable fee: A non-refundable fee is required with your application submission. Payment instructions and options are available on the form.
  • Superintendent recommendation: For permits or authorizations, a recommendation from a superintendent is necessary. This endorsement is a critical component of your application, confirming your qualifications and character for the role you're applying for.
  • Special sections for coaches and athletic trainers: If you're applying for a temporary authorization as a coach, athletic trainer, or limited football trainer, make sure to complete the specific sections related to these roles. These sections require evidence of professional development, certifications, and, in some cases, employment agreements.

By adhering to these guidelines, you'll be better equipped to navigate the application process smoothly and increase your chances of a successful outcome. Attention to detail and adherence to the form's instructions are key to submitting a well-prepared application.

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