CAIR-MA Muslim Youth Leadership Program (MYLP) Application
The Muslim Youth Leadership Program is an intensive leadership program which aims to activate young Muslims in Massachusetts in the world of organizing and change-making through centering the themes of advocacy, civic engagement, social justice, and community organizing. The standard fee for the Muslim Youth Leadership Program is $250, and payment must be received by July 17th, 2023 to complete your registration. To make the payment please go to www.cairma.org/donate. Please email f-mohamed@cair.com if you need the fee reduced or waived for financial reasons.
Name
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First Name
Last Name
I commit to attending everyday of CAIR-MA's MYLP (August 8-11th 2024)
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If selected, I promise to use the skills learned at MYLP to bring positive change to my community
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Do you agree to stay in gender-segregated housing provided by CAIR-MA for three nights close to the venue?
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I commit to paying the $250 admission fee by July 15th, 2023
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Birth Date
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Please select a month
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Year
Applicant's Email
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example@example.com
Grade
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Freshman
Sophmore
Junior
Senior
Address
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Street Address
Street Address Line 2
City
Please Select
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Arizona
Arkansas
California
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Connecticut
Delaware
District of Columbia
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Hawaii
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Massachusetts
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Ohio
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Pennsylvania
Rhode Island
South Carolina
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Tennessee
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Utah
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Applicant's Phone Number
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Please enter a valid phone number.
Gender
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Please Select
Male
Female
N/A
Do you have any allergies/food restrictions?
Parent/Guardian Full Name
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First Name
Last Name
Parent/Guardian Relationship
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Parent/Guardian E-mail
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example@example.com
Address 2
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Street Address 2
Street Address Line 2
City 2
State / Province 2
Postal / Zip Code 2
Parent/Guardian Phone Number
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Gender
*
Please Select
Male
Female
N/A
Ethnicity
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First language
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Do you have any long-standing illness, disability or infirmity? If you feel comfortable elaborating, please do so below.
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Why do you want to participate in CAIR-MA's Muslim Youth Leadership Program? What do you hope to gain from this experience? (200 words max.)
The Muslim Youth Leadership Program is all about providing you, as a young Muslim, with the tools to tackle the issues you care about. What is one of the most important issues to pay attention to in our society today? What attracts you to that issue?
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At the Muslim Youth Leadership Program, we believe that our own stories are the gateway to developing meaningful connections and producing change in the world. Tell us an instance when you created meaningful change. Did it come at a personal sacrifice? If so, what? Be detailed and specific with your story.
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Please upload your resume here:
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How did you hear about CAIR-MA's MYLP?
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Masjid/Mosque
Youth Group
E-newsletter or E-mail
Word of Mouth
Previous MYLP participant
Sibling who attended previously
Youth Advisory Committee Member
Other
How easy was this application for you? (1= hard, 5= easy)
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