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If you are interested in becoming a Community Partner with PCI and its family of schools, first complete the Pre-check form to see where you stand. If you qualify proceed and complete the application below for consideration. Please have the following documents readily available to upload to the application as an attachment.

  • Completed W-9 Form
  • Custodian of Records Confirmation Letter (if applicable)
  • TB Administration Verification for Employees (if planning to provide any in-person services)
  • Insurance Policy Accord or Coverage Summary with Pacific Charter Institute as Certificate Holder
    • Please use the following address:
      Pacific Charter Institute
      2241 Harvard St., Suite 310 
      Sacramento, CA 95815
  • Course (or service) list with descriptions
  • Fees, schedules, and syllabus
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For questions or concerns, please email us.

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