Circles Request Form

Name

This address will receive a confirmation email

Phone

OK to sent text messages to this number?

Yes No

Address

How long have you been coming to New Vision Center

Please check all that apply

I have completed the Pathway to Partnership class at NVC I am willing and able to make my Circle a high priority in my life I prefer an NVC Circle with an affinity toward sobriety (Note: All NVC Circle activities will be drug and alcohol free) I prefer an NVC Circle with an affinity toward LGBTQ

Are you interested in serving as a host home for some or all of your Circle's meetings? (Note: hosting in your home is not the same as leading a Circle)

Yes, I'd love to host Maybe, I'd like to hear more No thank you

I'm allergic/sensitive to:

Cats Dogs Smoke Perfume/Scents Other None

Are you intersted in an NVC Circle that meets via Zoom video-conferencing technology? (Note: This option is ideal for those who are comfortable with computers and /or travel often, live far away from the Circles that meet in person, or just prefer Zoom)

Yes No No Preference

Please check all the Circles you feel you would be a fit for:

Loving Spirit Circle, 10am, 1st Wednesday, Zoom Loving Hearts Connected, 6:30pm, 1st Thursday, Women’s Group Judy & Bryan (Circle Name Pending), 6:30pm, 3rd Friday Deepening Divine Connections, 6:00pm, 2nd Wednesday Diane & Jennie (Circle Name Pending), 7:00pm, 4th Thursday Faithful Friends, 6:30pm, 3rd Tuesday Rainbow Circle, 6:30pm, 4th Tuesday, LGBT Group Circle of Unity & Inclusion, 4th Tuesday, LGBT and Allies I want to create and learn to co-lead my own brand new Circle!

What do you hope or imagine you could gain from being in an NVC Circle?

What gifts and blessings might you bring to an NVC Circle? (examples: good listener, compassionate, commitment, timeliness, desire to grow spiritually...)

What reservations, if any, do you have around joining an NVC Circle?

Anything else you would like us to know that will assist us in placing you in an NVC Circle?

Circles Request Form

Description

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