2021-2022 Community Partner App:
Thank you for your interest in becoming a Community Partner for Pacific Charter Institute and its family of schools: Heritage Peak Charter School, Rio Valley Charter School, Valley View Charter Prep, and Sutter Peak Charter Academy. Please complete all sections of this request form for consideration to become a PCI Community Partner.

NOTE: Please proofread your responses/answers as they will not be automatically corrected.
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Prospective Partner Information
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Acknowledgement Agreement
3
Additional Business Information
4
Service Information
5
Additional Business Details
6
Liability Insurance
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Protocols, Invoice Requirements, Agreement
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Prospective Partner Information
2
Acknowledgement Agreement
3
Additional Business Information
4
Service Information
5
Additional Business Details
6
Liability Insurance
7
Protocols, Invoice Requirements, Agreement
  • Prospective Partner Information

  • The Business Name will be used as the listing on the public listing of the Community Partner List upon application approval.
  • This will be listed on the public listing of the Community Partner List upon application approval.
  • This will be listed on the public listing of the Community Partner List upon application approval.
  • COUNTY the business is physically located. This will be listed on the Community Partner List upon application approval. If no physical location, the COUNTY of the location listed on your liability insurance may be used for this listing.
  • - -
    This will be listed on the Community Partner List upon application approval.
  • - -
    This will be listed on the Community Partner List upon application approval.
  • This will be listed on the Community Partner List as the email where Purchase Orders will be sent upon application approval.
  • This will be listed on the Community Partner List upon application approval.
  • Enter Number in Years. Round to two decimal places.
    Examples:
    1 month = 0.08
    3 months = 0.25
    6 months = 0.50
    9 months = 0.75
    1 year = 1.00
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