BECOME AN ITA VENDOR

Please, complete the form below to register as a vendor for International Torah Academy. All information will be kept confidential and used solely for administrative purposes.

Note: Social Security Number (SSN) or Tax ID will be required only upon application approval for payment processing.

Full Name/Business Name:

Contact Person (if Business Name Was Entered):

Contact Phone Number:

Email

Mailing Address:

Country/Region

Address

City

Zip / Postal code

SERVICES PROVIDED. Describe the Services You Offer:

Target Audience:

Elementary School Students

Middle School Students

High School Students

Other

Service Locations:

In-Person

Online

Hourly Rate or Payment Terms:

Do You Currently Work With ITA Families?

Yes

No

If Yes, List the Families or Students You are Currently Working with (if applicable):

Provide names for verification.

PAYMENT INFORMATION. Preferred Payment Method:

Direct Deposit

Check

Venmo

Zelle

Payment Schedule Preference:

Weekly

Bi-Weekly

Monthly

Upload Proof of ID and Business Registration Certificate (If Applicable):

LEGAL AND COMPLIANCE.

I agree to provide an invoice.
I am legally authorized to work in the U.S.
I have never been convicted of a crime under U.S. federal or state law.
I consent to a background check if required by ITA or its families.

Declaration:

I hereby certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false information may result in the rejection of my application or termination of my vendor status with ITA. I acknowledge that my Social Security Number (SSN) or Tax ID will be requested only upon approval of this application for payment processing.

Date:

Month

Day

Year

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.