Circles Request Form
Circles are Ongoing - Someone from our team will contact you soon | Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
OK to sent text messages to this number?
*
Please select one option.
Yes
No
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
I am at least 18 years old:
*
Please select all that apply.
Yes
No
Birth Month:
*
Please select one option.
January
February
March
April
May
June
July
August
September
October
November
December
Select Option
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day:
*
Please select one option.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Option
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
How long have you been coming to New Vision Center?
Please check all that apply
*
Please select 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
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)
*
Please select one option.
Yes, I'd love to host
Maybe, I'd like to hear more
No thank you
I'm allergic/sensitive to:
*
Please select all that apply.
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)
*
Please select one option.
Yes
No
No Preference
Please check all the Circles you feel you would be a fit for:
*
Please select all that apply.
Loving Spirits Circle, 10am, 1st Wednesday, Zoom
Loving Hearts Connected, 6:30pm, 1st Thursday, Women’s Group
Grilling & Chilling with Spirit, 6:30pm, 3rd Friday
Deepening Divine Connections, 6:00pm, 2nd Wednesday
Faith Frequency, 7:00pm, 4th Thursday
Faithful Friends, 6:30pm, 3rd Tuesday
Rainbow Circle, 6:30pm, 4th Tuesday, LGBTQ Group
Circle of Unity & Inclusion, 4th Tuesday, LGBTQ & Allies
I am interested in creating and learning how 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?
Do you require any special accommodations, or is there anything else you would like us to know that will assist us in placing you in an NVC Circle?
Submit
Description
Circles are Ongoing - Someone from our team will contact you soon
Please fill out this form and click submit.
×
Please Fix the Following