Intake Form - No Cost Partnership
This date must be at least 10 weeks from today date. You can access the board dates here
Agreement Term is the date the services shall commence.
Agreement Term is the date the services shall end on.
Point of Contact if there are questions related to this intake form. It is important this information is complete and accurate.
Work email address (sandi.net)
Please use 4 digits.
This is the District employee that will supervise the services being performed.
Please include Address, City, State, and Zip.
This is the legal name of the company or person performing services and matched the W9 form.
Person signing the contract
Of the person signing the contract on behalf of the company
1. Scope of Work or Proposal
(e.g.: WHAT from WHOM and for HOW LONG):
Choose your Area Superintendent, Director, or Chief.
This information is needed for the Board Agenda.