Intern Registration Form
This is an unpaid internship. Interns may receive academic credit or community service hours if arrangements are made between the Shura Council and the intern's school. It is the student's responsibility to research the requirements, work with the supervising director to tailor the internship, and ensure that appropriate forms are completed if they wish to receive academic credits from their respective institutions.
A little bit about Shura Council:
Shura Islamic Council of Southern California is an umbrella organization to unite the Muslim community, be its voice, and create a network of Islamic centers and organizations in SoCal. Since it’s inception its fostered the culture of understanding and respect within the Muslim community and with other faiths, and civic communities through Los Angeles, Orange County, San Diego, Ventura, and the Inland Empire. Over the years the Muslim community in SoCal has grown tremendously from a few mosques to over 100 mosques in all corners of the Southland serving 500,000 people.
Student Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Year
Gender
*
Male
Female
N/A
Address
*
Street Address
Apt or Ste Number
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your E-mail
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
School Name
*
Major
*
Expected Graduation Date
*
Upload Resume
Browse Files
Cancel
of
Native Language
*
Other Language(s)
Please list any special skills you have
*
How comfortable are you with public speaking
*
1
2
3
4
5
Very uncomfortalbe
Very comfortable
1 is Very uncomfortalbe, 5 is Very comfortable
How comfortable are you working in a fast-paced environment?
*
1
2
3
4
5
Very uncomfortalbe
Very comfortable
1 is Very uncomfortalbe, 5 is Very comfortable
How comfortable are you working independently?
*
1
2
3
4
5
Very uncomfortalbe
Very comfortable
1 is Very uncomfortalbe, 5 is Very comfortable
Explain why you want to intern with the Shura Council
*
Please select your availability
*
Signature
*
Submit Application
Should be Empty: