EmailMeForm
PCI Community Partner Pre-Check
Complete this form to determine if you qualify to be a Community Partner with Pacific Charter Institute and its family of schools.
Business Name
*
Name of Contact
*
First
Last
Email
*
Do you currently provide your own curriculum?
*
Yes
No
Do you currently provide your meeting location for students?
*
Yes
No
If you meeting virtually and provide a virtual platform to interact with students, you may answer Yes to this question.
Is your organization registered as a public or private school?
*
Yes
No
How many customers do you currently provide services for?
*
Less than 10
10 - 50
51 - 100
100+
Are you (and all of your staff) free of conviction for a serious or violent felony?
*
Yes
No
Not Sure
How do you classify your business?
*
Sole Proprieter/Individual
C or S Corporation
Partnership
Limited Liability Company
Other
Have you (and all of your staff) been screened in the last 4 years and are free of tuberculosis ?
Yes
No
Not Sure
Do you currently hold an active business license?
Yes
No
Do you currently have an active insurance policy for your business?
Yes
No
Do any of your services or curriculum contain any faith-based materials?
Yes
No
