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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