Chief Schools Office

Chief Schools Office

130 Trinity Avenue, S.W., Seventh Floor

Atlanta, Georgia 30303

(404) 802-2408 (Office)

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  Complete all applicable items on this application. (PLEASE PRINT OR TYPE)
  
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  Include a copy of current business license from the State of Georgia. (Do not include the application for a license).
  
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  Include 3 current reference letters. Reference letters must be from an individual, company or agency that you have provided after-school program services for. (ORIGINAL LETTERS ONLY with date and signatures)
  
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  Turn in the completed application by the due date at the bottom of the registration form.
  
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  If you meet all requirements your company shall be placed on an approved vendor’s list for after-school programs.
  
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  The Vendor’s list does not assign or guarantee you to a school.
  
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  Once approved as an after-school vendor, it is the vendor’s responsibility to meet with Principal’s and request to provide a program at their school.
  
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  Failure to complete the application in its entirety or to comply with the above instructions may result in your application being rejected.
  

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  In order to provide an after-school program in any APS facility, you must have the following prior to the first day of programming:
  

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  After-school vendor authorization as an approved APS after-school vendor
  
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  Business License
  
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  Completed response form packet turned into the Office of Federal Grants and Program Compliance
  
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  $1,000,000 Commercial General Liability for bodily injury and property damage combined single limit and Contractual Liability that names the Atlanta Independent School System as additional insured
  
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  Bright from the Start License or Exemption for each school you are requesting to provide services.
  
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  Acceptable criminal background checks for all employees/volunteers and a fingerprint record completed by Atlanta Public Schools.
  

Business Name

(As it appears on your business license)
Authorized Official: (Please Print)
Mailing Address (Must be a street address not a Post Office Box)




Telephone Number Fax Number
Email Address Web Address
Have you ever provided an after-school program in Atlanta Public Schools? _____ Yes ____ No

If yes, list the year(s) and schools on a separate sheet and the name of the program.

If yes, list your work/volunteer experiences and services provided for Atlanta Public Schools on a separate sheet. Include the dates you worked/volunteered, services provided, location and the reason why you do not currently work/volunteer and provide services in Atlanta Public Schools.

Signature of Authorized Official ______________________________________________________

RETURN COMPLETED APPLICATION TO:

130 Trinity Avenue, SW – 7^th Floor