Attachment B - Contact Form~1.docx

This is a General Information Form attachment for the Adult Learner Opportunity and Workforce Pathways Initiative (27ACLLP1), a Request for Response issued by the Massachusetts Department of Elementary and Secondary Education (DESE). The form requires vendors to provide organizational identification, including vendor code, address, and authorized signatory information. Vendors must designate an authorized signatory with legal authority to sign documents on behalf of their organization and identify a contact person capable of answering substantive questions regarding the submission. Additionally, vendors should identify a local representative from their organization who would serve as the primary point of contact for work conducted for DESE and participating districts, if applicable.

The initiative, supported through state line item 1596-2514, seeks a qualified strategic implementation partner to expand access to English language learning, strengthen workforce pathways, elevate learner leadership, and support development of a diverse and culturally responsive adult education workforce. This procurement is covered under World Trade Organization (WTO) requirements. The completed General Information Form must be uploaded with the vendor's submission through the COMMBUYS procurement system. The form serves as a preliminary requirement to establish vendor credentials and communication channels for this adult education initiative.