Alcott Elementary Ptsa Independent Contractor Contract

Alcott Elementary Ptsa Independent Contractor Contract

ALCOTT ELEMENTARY PTSA INDEPENDENT CONTRACTOR CONTRACT

Date Services will be provided: Starting on: Ending on:

Name of Independent Contractor:

Address:

Email:

Phone Number: Office Phone: Alternate Phone Number:

Do you have a business license? YES/NO
If so, please attach a copy.

Tax ID Number: W-9 on file? YES/NO
If no, please submit a W-9 with this contract.

Do you have a Certificate of Insurance? YES/NO
If yes, please attach a copy of the certificate.

** By signing this contract, both the independent contractor and the PTSA acknowledge that the independent contractor is not covered by the PTSA’s insurance due to the fact that he/she is a paid independent contractor.

Has the instructor submitted the safety patrol background check? YES/NO
This form is required by the Lake Washington School District. Obtain from Office Manager or on LWSD website.

Description of Class:

Class Schedule:

Independent Contractor fee per hour/or tuition per student:

Terms of Payment
Students will register online through the vendor site or through alcottptsa.org. 10% of tuition collected will be donated to Alcott PTSA.
Rules of use: (materials, rooms, cleaning, etc.)
Instructor(s) are responsible to leave the room in the same condition as it was found, putting away all materials and equipment. Instructor must have a parent chaperone (PTSA Member) at each class. If a parent chaperone is not present, the class cannot be conducted until a parent chaperone is obtained. Contractor will be responsible for any damage to the property of the Lake Washington School District.

Registration Guidelines
If students are registered through the vendor’s website, a spreadsheet of emergency contact information must be submitted to the Alcott office and the After School Coordinator at least 24 hours in advance of the class. This spreadsheet must be current and update for each class. The spreadsheet must contain date, day and times of classes, instructor name and emergency contact, student full name, student’s Alcott teacher, student’s emergency contact information.

As a before/after school teacher, I certify that I will release children solely to their parent/guardian or per written instructions signed by the same.

Signature of Independent Contractor:

Date:

Printed name:

Alcott Elementary Parent Teacher Student Association
A Washington non-profit corporation
By: Date:

Printed Name: Title:

By: Date:

Printed Name: Title:

Signature of After School Coordinator and one other elected PTSA officer required.