Utah Fits All Scholarship ProgramQualifying Provider Application

Utah Fits All Scholarship Program

Qualifying Provider Application

Qualifying Providers will use ClassWallet to accept payment for scholarship expenses, and to create a profile that describes the services and/or materials they offer to Utah’s eligible K-12 students.

Questions for the Utah Fits All Scholarship Program? Please contact us at support@ufascholarship.com and/or 1-385-503-8327.

Instructions Step 1 of 2:

In order to receive payments from UFA Scholarship students, you will need to complete the following steps:

STEP 1 - Application: Complete the application form found on this page.

STEP 2 - Setup ClassWallet Account: If your application is approved, you will receive an email with a link to the ClassWallet website and the required next steps. Follow the instructions in that email to set up your ClassWallet account to receive ACH payments. Per UFA Program Guidelines, you will be required to enter a description of services provided to a scholarship student during the creation of your ClassWallet account.

If you are a provider with multiple locations, please see which circumstances apply:

LOCATIONS SHARE THE SAME BANKING INFORMATION?

1. If you have multiple service locations who all share the same banking information you will be required to register your ClassWallet account under one email address.

2. In the vendor settings in the display name field enter:

Your business name followed by your approved locations

For example: My Favorite Tutor – Logan, Salt Lake, Lehi, Provo

LOCATIONS HAVE DIFFERENT BANKING INFORMATION:

If your multiple service locations do not have the same banking information, then each individual location must apply and register as its own standalone organization, each with their own unique email address.

Your application will NOT be deemed complete until you create your ClassWallet account and verify your bank account.

The information submitted on your application must match the information used to create your Qualifying Provider account.

IMPORTANT:

Be sure to whitelist or save the following emails as "Safe Senders" to ensure you receive the email notifications:

info@classwallet.com
help@classwallet.com
automation@app.smartsheet.com

For Any questions surrounding updates or questions on the application, please contact support@ufascholarship.com

Fees:

ACH payments from a scholarship student’s account to a qualifying provider will be assessed a 2.5% ClassWallet processing fee. This fee is incurred by the provider and will not result in an additional withdrawal from the scholarship student’s account. The processing fee applies to the entire payment amount.

Select the appropriate category for your business or organization*

Eligible School with 150 or more enrolled students
Eligible School with fewer than 150 enrolled students
Local Education Agency
Eligible Service Provider

Select

Complete the required information:

Business Type*

If you are a sole proprietor, LLC, or registering for any type of business, please select Business. If you are an individual service provider who has not filed an LLC or sole proprietor, please select individual.

Select

Business Filing Structure*

Select

Service Delivery Method*

Please select the method(s) in which you provide services. Please note that your address may be shown depending on your selection.

Select

Business Name (Your Name if Sole Proprietor)*

School Name*

Your First Name*

This is the name of the applicant

Your Last Name*

This is the name of the applicant

Email*

This is going to be the email in which your invitation and all communications will be sent. Once the application is complete, you will not be able to update this information. The best practice is to add a general business contact email.

Applicant Phone Number*

This is will be used to contact you in the event of any questions on your application.

Phone

Family Point of Contact - First Name

We understand that each business or organization may have a preferred family point of contact that is not the same person as the applicant. Please complete the following information if the family point of contact is different than the applicant.

Family Point of Contact - Last Name

Family Point of Contact Email*

Family Point of Contact Phone Number*

Physical / Business / Service Address*

Physical / Business / Service City*

Physical / Business / Service State*

Select

Physical / Business / Service Zip*

Physical / Service Address*

Physical / Service City*

Physical / Service State*

Select

Physical / Service Zip Code*

Mailing Address Validation*

Is your mailing address different from your Physical/Service Address?

Select

Mailing Address*

Mailing City*

Mailing State*

Select

Mailing Zip*

Billing Address Confirmation

Please select this check box if your address is for billing purposes only.

Website

(If the organization/company/individual does not have a website, enter N/A)

Provider Category*

Please choose all that apply.

Select

Provider Category - Other*

Services Offered*

Please choose all that apply.

Select

Services Offered - Other*

Languages Supported*

Please choose all that apply.

Select

Languages Supported - Other*

Supporting Documents*

Please reference the Qualifying Provider Handbook and the

UFA - CPA - Agreed Upon Procedures

The supporting documents required for upload are:

Audit, Recent Annual Review, or Agreed Upon Procedures Engagement
Documentation linking Business Name and EIN
2024 - 2025 Tuition and Fee Schedule

Supporting Documents*

Please reference the Qualifying Provider Handbook

The supporting documents required for upload are:

Documentation linking Business Name and EIN
2024 - 2025 Tuition and Fee Schedule

Supporting Documents*

Please reference the Qualifying Provider Handbook

The supporting documents required for upload are:

Course offerings and associated costs and fees
Documentation linking Business Name and EIN

Supporting Documents (Upload all that apply)*

Please reference the Qualifying Provider Handbook

The supporting documents required for upload are:

Diploma or transcript
Documentation linking Business Name and EIN
License or certification
Services offered and associated costs and fees

Upload Document(s)*

Please ensure that the files you upload are PDF, JPEG, or PNG file format(s).

Drag and drop files here or

Document Expiration Date*

If your certification does not have an expiration date, please put the expiration as 5 years from today’s date. If you add multiple documents, please input the earliest date of expiration for the documents uploaded.

Multiple Service Location(s) Y/N*

If you are a provider with multiple locations, please see which circumstances apply:

LOCATIONS SHARE THE SAME BANKING INFORMATION?

1. If you have multiple service/school locations who all share the same banking information you will be required to register your ClassWallet account under one email address.

2. In the vendor settings in the display name field enter:

Your business name followed by your approved locations

For example: My Favorite Tutor – Logan, Salt Lake, Lehi, Provo

LOCATIONS HAVE DIFFERENT BANKING INFORMATION:

If your multiple service/school locations do not have the same banking information, then each individual location must apply and register as its own standalone organization, each with their own unique email address.

Select

Service Locations*

I/We understand that in the event there are multiple service/school locations, I/We will register each location separately.

Does the provider have a child participating in the UFA program?*

Select

Are you currently a provider/vendor on ClassWallet for another program?*

This information is only used to help with associating your existing Direct Pay Vendor profile with the Utah Fits All Scholarship organization. If you already have a ClassWallet account, the registration process will differ in order to link it to your original account.

Select

Communication Consent*

I/We acknowledge that I/We will receive updates and informational emails from the UFA Scholarship Program.

Attestation*

I have read and agree to all of the conditions and requirements for participation in the Utah Fits All Scholarship Program, and I attest that as a QP the services being offered meet or exceed all of the program requirements.

Attestation - LEA*

Application Review*

Disclaimer - The information on this form cannot be updated after submission. To avoid the need to resubmit a new application, please review and confirm all information is accurate prior to selecting submit.

By Selecting the below checkbox, I/We certify that all of the information provided in this application is accurate to the best of my/our knowledge.

Important Note

ACE and ClassWallet encourage you to retain a copy of your application responses by checking the box below to ensure the same information is used to complete the registration process in the ClassWallet platform.

Send me a copy of my responses

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