New Educational Enrichment Partner Sign-Up

Welcome to the JCS Inc. Educational Enrichment Partner Program. Please complete the fields below to get your Application started.

This Sign-up is for NEW Educational Enrichment Partner ONLY, if you are an existing JCS Inc. Educational Enrichment Partner, or if you were a JCS Inc. Educational Enrichment Partner in the past, please LOGIN. If you do not know your login information, contact the Resource Center.

After this Sign Up form is submitted we will review your application information (usually takes 1-2 business days). If accepted, you will be sent a username and temporary password to the email address you provide below. Once received, login to the website to finish registration and upload the required documentation.

Note: you must provide a 'Place of Business' name and address. Once your application is approved, this address will be searchable and will be displayed publicly on the JCS Inc. Educational Enrichment Partner website.

For answers to common questions about becoming a JCS Inc. Educational Enrichment Partner, go here General Information

For detailed information on filling out this form, go here EEP Sign Up Instructions

For questions not covered in the General Information section, or for help completing Sign Up, Please Contact the Resource Center Resource Center (760) 765-5500


Contact Information

Business Name (DBA):
(this is the name that will appear on the JCS website, purchase orders, and should be on any advertising. It MUST match the DBA listed on your W9 Exactly. If the DBA is blank on your W9, then this must be the Legal Name listed on your W9)
Legal or Taxable Entity Name:
(this is the 'Name' that is on your W9 form, and under which income taxes are filed, and will be the name that checks are issued to)
Tax Status:
Business Email Address:
Business Phone:
Business Fax:
Business Website:
Remittance Attention:
Remittance Address 1:
Remittance Address 2:
Remittance City:
Remittance State:
Remittance Zip:
Remittance email:
Would you like all Purchase Orders emailed to you? Yes No

Acknowledgements

Will you be providing only stand alone services or materials, with NO contact or correspondence with a JCS student?

Yes, no one will be in direct contact or correspondence with the student.

No, the student will be in contact or correspondence directly with someone i.e in person, over the phone, through email, chat, text, Online session etc.

Will the services you provide require the JCS student to meet in-person, either one-to-one or in groups?

Yes, I/We will need to always, or a least occasionally, meet the student in-person to provide the services offered.

No, all services can be conducted Online, through virtual participation.

Are any of your services offered advertised as 'Special Education' instruction?

Yes, I/We provide 'Special Education' instruction.

No, all services are advertised for general education enrichment.

Is your company and all of the services it provides considered nonsectarian?

Yes, my company and all services provided are considered nonsectarian.

No, my company or some of the services provided are considered sectarian.

Are you able to accept Purchase Orders for your services or materials offered?

Yes, I am able to accept Purchase Orders.

No, I am NOT able to accept Purchase Orders.

As a Educational Enrichment Partner, Students/Parents will provide you with Attendance Slips which you will use to claim attendance. You CANNOT provide services without being provided a valid Attendance Slip. Upon completion of your offered services, you must claim attendance using the collected slips to receive payment for your services. This process is entirely online, and will require you to have access to a computer and the Internet. Is this process acceptable to?

Yes, this process is acceptable.

No, this process is NOT acceptable.

I have read the General Information for Vendors (link will open in new window). I understand and agree to comply with the information and procedures outlined there.

Yes, I have read, understand, and will comply.

No, I either have NOT read, do NOT understand, or will NOT comply.


What is the last month of the year?

(Why ask this? This question can only be answered by a human, and so prevents evil robots from sending us spam)