NEW - Work and/or Education Support Service Vendor Application

NEW - Work and/or Education Support Service Vendor Application

Use this Application if you would like to become a Work and Education Support Service Vendor with Workforce Solutions.

Work and Education Support vendors provide services that help customers obtain or maintain employment or attend a work-related education and training program.

Date of Application

Vendor Name*

Vendor Contact Name*

Vendor Contact Title*

Vendor Contact Phone Number*

Vendor Contact Email*

Type of Service(s) Provided*

Please select the services you will provide for Workforce Solutions customers. If the service is not listed, select Other and explain in the Comments section at the bottom of this page

Select

Required for Workforce Solutions Vendor Network

Vendors must meet the following criteria for eligibility and/or provide the requested documentation:

Counties you serve*

The Gulf Coast Workforce Board and its operating affiliate Workforce Solutions, provide services to customers in the following 13 counties:

Austin

Brazoria

Chambers

Colorado

Fort Bend

Galveston

Harris

Liberty

Matagorda

Montgomery

Waller

Walker

Wharton

Please select the county or counties you provide services for

Select

Provided services for at least one year?*

All vendors must have a record of at least one year providing services prior to applying. We will not approve start up organizations.

By checking this box, you attest that you have provided these services for at least one year

Completed Application*

All vendors must provide a completed Work and/or Education Support Vendor Application that includes:

Business Information

Business Type/Classification

Proposed Service Information

Price Information

Vendor Qualifications/Experience

References

By checking this box, you attest that you are providing a completed application

W-9*

Vendors are not Workforce Solutions employees; they are independent contractors. An entity who is required to file an information return with the IRS, must provide the correct taxpayer identification number or employer tax identification number.

By checking this box, you attest that you are providing a completed W-9 form

Comments*

You may use this space to provide additional information and/or explain Other services provided. Please enter N/A if you do not have additional information to provide

File Upload

Please upload the completed application, W-9, and Direct Deposit (if applicable) *Note: There is a 10 file maximum upload. Some forms may need to be combined so they may be uploaded.

Drag and drop files here or

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