ICN Volunteer Form

Your Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
What is your current work status?*

Full-time EmployedPart-time EmployedUnemployedFull-time StudentStay at Home ParentOther

Availability & Preferences
How much time are willing to commit volunteering for the masjid on a weekly basis? *

1-2 Hours3-4 Hours5 Hours or More
Communication Preference (rank 1 - 3)*

When are you consistently available?*

Submit
By checking the boxes below, you accept the conditions and agree to apply them to the best of your abilities.*

Agree to keep confidential any and all information learned about the clients served and/or the clients whose information come to be known while volunteering/working at all departments of ICN.Understand that you are committed to keeping client information confidential even when you are no longer volunteering/employed at ICN.
Should be Empty: