2024/25 VISIONS IN EDUCATION NEW ENRICHMENT VENDOR QUESTIONNAIRE
Thank you for your interest in becoming an Enrichment Vendor with Visions In Education. When you become approved as a Visions Enrichment Vendor, parents are able to purchase vouchers (promissory notes of payment) in exchange for your services.

Visions In Education has specific requirements for your business to be approved as an enrichment vendor. Some of these requirements are listed below:
  • You are not a private/public school.
  • You are not an employee/agent of Visions In Education.
  • You do not deliver services required by a student's IEP (SPED vendors should contact Visions SPED team - studentservices@viedu.org)
  • You must be incorporated within the United States.
  • You cannot be a competitive sports team or traveling team. Recreational leagues through Parks and Recreation Districts are acceptable.
Please refer to the Unofficial DocuSign Contract for detailed information about being an Enrichment Vendor. You will be invited to sign this same contract after we verify that all of your documents are in place. For detailed information regarding the documents that must be submitted with this Questionnaire, please view this "Enrichment Vendor Required Documents" page.

Please answer the questions below as they pertain to your business. Upon receiving satisfactory responses, Vendor Support will follow up with a DocuSign Contract to complete the application process.

Please do NOT fill out this questionnaire more than once. If you have any questions, email vendorsupport@viedu.org. After completing this questionnaire, you can use this Dropbox link to submit the required documents.
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Email *
Name of Contact
Please provide your first and last name.
 *
Name of Business
Please provide the name of your business. This should agree to Line 1 of your W9. If you are a sole proprietor, please use your first and last name.
 *
Your website (if applicable)
Please select the primary county you serve. *
Please provide a brief description of the services you provide. *
1. Background Check Requirement

Do you agree to the following?
I understand that I am obligated to comply with the criminal background check procedures required of public schools under Education Code sections 45125.1 and 44237. I understand that I will need to complete legally-compliant criminal background checks on all individuals my business assigns to perform work under this Agreement, including employees, volunteers, and independent contractors, and will continue to perform legally-compliant checks going forward. I hereby certify that all individuals assigned by my business to perform work under this Agreement shall remain free of convictions that would make them ineligible or unsuitable for public school employment, including offenses under Penal Code sections 44010, 44011, 1192.7(c) and 667.5(c) (see attached), or offenses against minors.
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2. Background Check Clearance Procedure  

If you are a sole proprietor with NO employees, contractors, or volunteers (which includes relatives and co-owners), you will be Live Scanned using  Be-A-Mentor. 

If you have any co-owners, employees, contractors, and/or volunteers, you are responsible for their Live Scan. You must either: 

a) Show proof of a CA Department of Justice (DOJ) issued Custodian of Records (COR) letter, or

b) Be Live Scanned using Be-A-Mentor.


For more information about the Be-A-Mentor or COR process, view the fingerprinting section (page 5) on this document. 

I understand that I am responsible for all fingerprinting costs. I also understand that if I am a vendor with employees, contractors and/or volunteers, I must  provide a list of their names verifying that they have received their background check clearance before providing services to the students. 

Please select the option applicable for you.
 *
3. Insurance Requirements

Visions requires all of our vendors to provide a current and active Certificate of Insurance AND an Additional Insured Endorsement that provides evidence of professional and/or general liability insurance coverage in a sum not less than $1,000,000 per occurrence, with $2,000,000 in aggregate, listing Visions In Education, Inc., as the Certificate Holder and as an additional insured.

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4. TB Test Requirement

Do you agree to the following?
I agree to require my employees or other workers who interact in-person with students to submit proof of a tuberculosis (TB) risk assessment and/or clearance as required by Education Code section 49406. I hereby certify that I shall require any employee or other worker who provides in-person services to Visions students to submit acceptable proof of a tuberculosis (TB) risk assessment and/or clearance as required by Education Code section 49406.
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5. STRS or PERS Membership

If you are an S corporation or sole proprietor, have you ever been a member of STRS or PERS?
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6. Proof of Business Legitimization Information
 
All Enrichment Vendors are required to provide one of the following items with their contract. For more information about this requirement, please see page 3 of this document. 

Please select one of the following options.
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7. Form W9

I understand that I must provide a Form W9.
 *
8.  Submission of Required Documents

Please follow the Dropbox link below to submit the required documents as mentioned in the previous questions. 
Dropbox Link

Required documents:
1. Certificate of Insurance (COI)
2. Additional Insured Endorsement
3. Proof of Business Legitimization (see question 6)
4. Form W9 
5. COR letter and list of employees with background check clearance (if not using Be-a-Mentor for background check) 
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