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.
Community Partner Application
- Completed W-9 Form
- COVID Prevention Plan (if planning to provide any in-person services)
- 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
1401 El Camino Ave. Suite 510
Sacramento, CA 95815
- Please use the following address:
- Course (or service) list with descriptions
- Fees, schedules, and syllabus

For questions or concerns, please email us.
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