New Community Partner Interest Application

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Ready to become a community partner? To begin the application process please answer the below questions on the following form. Community Partners will be contacted within 7-10 business days via email with the next steps in the Community Partner application process. This application is for service only. If you offer a product or curriculum, please contact: Ms. Stephanie Archibald - sarchibald@viedu.org.

Community Partner Application Process: The first step is to complete this form thoroughly. Your response will be reviewed and processed in 7-10 business days. If you qualify, we will send you the community partner contract via DocuSign.

Parents and Families: This survey is for ORGANIZATIONS/COMMUNITY PARTNERS to fill out. If you would like to suggest a Community Partner, please email their contact information to vendorsupport@viedu.org.

If you have any questions about becoming a Community Partner, please email vendorsupport@viedu.org.

Name of Business *

Please provide the name of your business. This should agree to Line 1 of your W9. If you are a sole prop., please use your first and last name.

Name of Contact *

Please provide the name of the owner, director, or the primary point of contact. Please include their first and last name.

Email Address *

Please provide the email address of the owner, director, or the primary point of contact. Once reviewed and approved, the Community Partner Contract will be sent to this email address.

Address of Organization- Where Services are rendered. *

Please provide the phone number of the Organization *

Please use the format (123) 456-7891

Please select the primary county you serve. *

Amador

Contra Costa

El Dorado

Placer

Sacramento

San Joaquin

Solano

Sutter

Yolo

Online

Other: Please note that our students are only located in the above counties

Please provide a detailed description of the services you provide. *

Please provide, if available, your business website.

Are you at least 18 years of age *

Yes

Please list your qualifications to serve Visions In Education's students ( ie years of experience, certifications, and/or degrees). *

Do you have any employees, sub contractors, or volunteers? *

Yes

Visions in Education requires all Community Partners to provide proof of Live Scan. Please review the below requirement prior to submitting your interest form. *

Live Scan Clearance: If you are a sole proprietor with NO employees, contractor, and volunteers (which includes relatives), you will be Live Scanned using Visions' Live Scan form. If you have employees, contractors, and volunteers, you are responsible for their Live Scan and must show proof of a DOJ issued COR letter. The vendor is responsible for all fingerprinting cost.

I have read the Live Scan Requirements. If I qualify to be a Community Partner, I understand that I will need to upload proof when I complete the Community Partner contract.

Visions in Education requires all Community Partners to provide proof of liability insurance. Please review the below requirement prior to submitting your interest form. *

You are required to show proof of liability insurance (Certificate of Insurance). The policy should include Visions in Education to be a Certificate Holder and an Additional Insured. The policy should also carry a $1 million per occurrence liability coverage. The vendor is responsible for all liability insurance cost.

I have read the Liability Insurance Requirement. If I qualify to be a Community Partner, I understand that I will need to upload proof when I complete the Community Partner contract.

Visions in Education requires all Community Partners to provide proof of business legitimization. Please review the below requirement prior to submitting your interest form. *

Community Partner's will be required to provide one of the following items with their contract. Business License {preferred} -or-Fictitious Business Name Statement -or-Form 1040 Schedule C (For Sole Props or Single Member LLCs ONLY) -or- Form W9 (For Corporations, Non Profits, or Multi Member LLC/Partnerships ONLY)

I have read the Business Legitimization Requirements. If I qualify to be a Community Partner, I understand that I will need to upload proof when I complete the Community Partner contract.

Visions will not partner with any Community Partners that meet or appear to meet any of the definitions of a private school per the California Department of Education. *

Visions will not partner with any Community Partners that meet or appear to meet any of the definitions of a private school per the California Department of Education’s FAQs. Community Partners expressly represent that they are not public or private schools and do not act in a manner that may be perceived as a public or private school. In an effort to ensure Visions is not partnering with what could be perceived as a public or private school, Visions imposes the following limitations: For Community Partners who provide enrichment in more than one (1) subject area, Visions permits a maximum of twelve (12) hours per week of services for eVouchers. Community Partners are not authorized to offer academic credits or provide transcripts to Visions students for services provided through eVouchers.

I have read the public or private school related requirements. If I qualify to be a Community Partner, I understand that I will need to adhere to the above requirements.

Visions will not partner with Community Partners who solely deliver services that are required by a student’s 504 Plan or Individualized Education Program (IEP). *

Community Partners offer enrichment that is open and available to all students on an equal basis. Services for counseling, therapy, IEPs or 504s are not considered enrichment and are not eligible for eVouchers.

I have read the IEP related requirements. If I qualify to be a Community Partner, I understand that I will need to adhere to the above requirements.

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