Ben Franklin Circles Interest Form
New York's 92nd Street Y has created a platform and toolkit for their Ben Franklin Circles model for community dialogue and is offering a stipend for moderators to help lead these conversations. Circles meet once a month for 13 months for about 90 minutes each session. Read more about the Circles at benfranklincircles.org.

If you are interested in the opportunity to facilitate a Circle in your community, please fill out the brief form below. Organizers will contact you to discuss this opportunity further. Thanks!

Email address *
Name *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Phone number *
Your answer
Tell us a little about your experience facilitating dialogues: *
Your answer
Do you have any questions for the organizers?
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms