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Volunteer

Volunteer Registration

    Contact Information

    Name *

    Street Address*

    City

    State *

    Home Phone *

    Work Phone *

    Email *

    Zip

    Availability

    During which hours are you available for volunteer assignments?

    WeekdayMorningAfternoonEvenings
    WeekendsMorningAfternoonEvenings

    Interests

    Tell us in which areas you are interested in volunteering (please pick only one)

    Information Dawah Booth and Events
    Converts and Friends Support Group
    Shifa Free Health Clinic
    Outreach Committee
    Quran Mobile and Quran Stands
    Community Service and Initiatives
    Audio and Video
    Food Pantry

    Special Skills/Qualifications and Previous Volunteer Experience

    Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports

    Person to Notify in Case of Emergency

    Name *

    Email *

    Home Phone *

    Work Phone *

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