Giving Circle Intent Form

If you are ready to take the next step and form a 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 chapters. So please take the first step and complete this form.

We look forward to hearing from you!

    Your Name (First and Last) (required)

    Your Email (required)

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

    State/Province (required)

    Country (required)

    Select if this is a brand new giving circle or an already operational/existing giving circle (required)

    Giving Circle Name (ONLY if already established - this is your formal 100 Who Care Name)

    Select Type of Giving Circle (required)

    Giving Circle Website url (ONLY if established and a working url)

    Giving Circle Facebook Link (ONLY if established and links to a working FB page/group)

    Your Message

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