Music Instructor Invoice - Berkeley Public Schools Fund

Private Music Instructor Name*

(name of person submitting the invoice; also called Tutor)

First Last

Email*

Phone*

Address (check will be sent here)*

Street Address City State / Province / Region ZIP / Postal Code

Student Name*

Please select student name from the list. If student's name does not appear, contact the Schools Fund at schoolsfund@berkeley.net.

Other Student Name

BUSD Music Teacher*

Please select the student's BUSD music teacher.

Enter lesson dates & number of hours*

Round hours to nearest quarter-hour (i.e. 1 hour 15 minutes = 1.25). Add fields as needed with the "+" sign. REMINDER - SUBMIT A SEPARATE INVOICE FOR EACH STUDENT that you tutor.

Date	Hours Worked

Total Hours*

Enter total number of hours for this invoice.

Hourly rate*

Enter your hourly rate for this student.

Total Charge*

Enter the total $ amount for this invoice (# hours X rate). REMINDER: each student is limited to $500 scholarship per year.

Is this your last invoice for this student for the school year?*

Have you submitted your IRS W-9 tax information?*

If we have not paid you as a tutor in the past, we need to have you complete an IRS W-9 form (just Google it - form is available online), or call us with your tax ID (510-644-6244).

Attach W-9 form here

You can upload a copy of your IRS W-9 form here.

Max. file size: 50 MB.

Notes

Provide any additional information here.

Email

This field is for validation purposes and should be left unchanged.