Giving Circle Intent Form

If you are ready to take the next step and form a new 100 Who Care giving circle in your community, please fill out this form and let us know your intent to do so.

By filling out this form, you are informing us of your desire to form a giving circle that follows the 100 Who Care model and requesting to be part of our network. Doing so does not bind you to forming a giving circle, and you are welcome to back out at any time. (We only ask that you let us know if that is what you decide.)

This is not an application, as the Alliance is not a rules or governing body. We believe that you know your community best and know what it can and cannot bear. Filling out this form helps everyone connect, thereby introducing you to potential new friends, steering team leadership, and members.

Once you are actively operating, with your first meeting date scheduled, we will make you “live” on our list of existing giving circles. So please take the first step and complete this form.

Main Contact*

First NameLast Name

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Your Email*

This is the email inbox where we will send monthly communications.

Giving Circle Type*

If you chose "Other", please provide your Giving Circle type:

Giving Circle Name*

ONLY if already established - this is your formal 100 Who Care Name. If you do not have a name yet, type "Not Yet Chosen".

Geographic area you intend to serve*

City/Town/Area/Region/County your giving circle encompasses or will encompass - this is how you will be geo-listed on our site

Estimated Date of Launch*

If you do not know the exact date, include the closest year/month/day. This is to give us an idea of when to expect to hear from you after your first meeting. You do not need to launch by this date.

Website URL*

https://www.givingcirclename.org Please only include a website URL. If you do not have a website, please type N/A.

Facebook Page (not Group)

https://www.facebook.com/GivingCircleName We will not link to private Facebook Groups.

Any other notes about the information you are submitting:*

Please include any questions you might have or any other information you think it's important we know about your giving circle formation.

Would you like to stay up to date on 100 Who Care Alliance happenings?

Yes, subscribe me to this newsletter.

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