COALITION PARNTER FORM

ILM is celebrating with the Coalition to Preserve Human Dignity, 25+ consecutive years of coordinating Humanitarian Day. ILM Foundation’s founder, Imam Saadiq Saafir, established the effort alongside co-founders Naim Shah Jr. and Hanafi Shakur in 2001.

The purposes of this form is for ILM to learn if your community is interested supporting the annual Humanitarian Day Ramadan Campaign.
GENERAL INFORMATION
Date

MonthDayYear
Date
Organization Name
Organization Website
Organization City/State
Does the organization have 501c 3 tax exempt status?

YesNo
Representative Full Name
Representative Email
example@example.com
What gift item is your organization interested in contributing?

FoodWaterShirtsSocksHygiene KitsFemine Care KitsBackpacksPanchosOther
What services is your organization interested in providing?

Health screeningHair cuttingNutritionReferral servicesUplifting feedbackEducational learningProject managmentMarketing and promotionOther
What equipment are your interested in providing?

TentsTablesChairsDolliesOther
Below are lists of additional possible partners and funding contacts.
Does your agree to join the Coalition to Preserve Human Dignity in support of ILM's Annual Humanitarian Day Ramadan Campaign?

YesNo
Please upload your organization's logo

Cancelof
THANK YOU
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GENERAL INFORMATION