1. Welcome!

Welcome!
 
We will use your information on this Application to match you with a suitable free Circle of mutual support. 

Your information in this application is entirely confidential.  We do not share any of your information with any people other than with our staff who do the matching.  We do not use your information for purposes other than helping you to join the best Circle to meet your needs.
 
Before completing the Application, please see the following 4-minute video for an overview of how a Circle works: How a Peer Support Circle Works.  You might also see the 4-minute What Does Circle Support Feel Like?

Circles are intended to help people to share support in order to deal with stress, solve problems and achieve goals.  They are not intended to address professionally diagnosed medical or mental health issues. 
 
If you gather at least 3 other people interested in a Circle, then you can attend our free orientation to facilitating a Circle.  We'll walk you through an actual Circle experience and interactively answer your questions. 
 
If you have any questions about this application, please feel free to email us.  
 
Thank you!

Question Title

* 1. Your contact information

Question Title

* 2. Please share more information that would help us to organize you with other members having similar situations.

Question Title

* 4. Optional question -- Please add any additional comments that would help us to help you to get the most out of a support group.  Thank you!

T