Vendor Application
If you have questions regarding this application after completion, please email
Service Vendors
We require all service business vendors to maintain Livescan (digital fingerprinting) background clearance information on all of their instructors that will teach our students. This is a legal requirement in order to keep students safe. The clearance is obtained through the California Department of Justice at your company’s expense.

*All instructors must be a minimum of 18 years of age.

Is your business a single entity, sole proprietorship with no employees other than yourself?
(Please skip if you are a product vendor only). If answering yes, you are acknowledging ​that you are a one person business and will be the only instructor working with the student(s). If you have employees, please answer no.
Product Vendors
*All product vendors are required to provide us with a copy of their resell license.

*You will be required to charge CA sales tax on all merchandise sold to our schools.

All Vendors
What school(s) or program are you requesting to be a vendor for? *
If you check more than one school/program, you are willing to provide services and/or products to all checked.
This request is for: *
Type of service and/or products provided: *
Your answer
Complete Business Name: *
Your answer
Address: *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone: *
Your answer
Your answer
Name of Contact Person: *
Your answer
Email Address: *
Your answer
Your answer
Approximately how many students (not affliated with IEM schools) does your company provide services to at this time?
(Skip only if you are product vendor)
Your answer
Are your services and/or products available to the general public? *
Do your classes and/or products contain any religious content? *
Would you accept school purchase orders for individual students? *
Does your business file an R4 (Private School Affidavit) in the State of California? *
Here is a link to what an R4 is:
Does your organization provide any of the following activities? *
Check all that apply
Our school’s payment terms are Net 30 Days from the date your invoice is received by our Accounting Department. Does this work within your system? *
How did you hear about us? *
(Parent, family, internet, etc...)
Your answer
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