New Program Request

New Program Request Form
Thank you for your interest in launching a new program with MAS Bay Area! Please complete the form below to provide us with essential details about your proposed program. This information helps us assess and support new program ideas effectively. Fields marked with an asterisk (*) are required.
Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email*
Program Leader(s) (Provide names of all leaders and coordinators)*
Program Leader's Phone Number*
Format: (000) 000-0000.
Program Leader's Email*
Program/Event Title*
Program Type (Select all that apply)*

SpiritualEducationalSocialLeadership & Personal GrowthEmotional & Mental WellbeingPhysical & RecreationalCommunity ServiceOther
Objective (What is the purpose of this Program? What are the goals you want to achieve? What will attendees learn or gain from participating?)*
Description (Provide an overview of the program including activities and format.)*
What are the Tarbiya components of the Program (Khatira, Halaqa, etc.)*
Program Success Metrics (What metrics will you measure and how? (e.g., attendance, participant engagement, feedback, youth returning for future programs, or other metrics)*
Name and Title of Guest Speaker(s) or Special Guest(s) if applicable. (If none, enter "N/A")*
Guest Speaker(s) Biography if applicable. (If none, enter "N/A")*
Curriculum and Topics (If this program is not a course/class/Halaqa, please enter "N/A.")*
Resources Used (List any materials, books, or handouts to be used. If none, enter "NA")*

New Program Request Form