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MGN Student Application 2017 - Valley Area

MGN at Al-Umma Center in Santa Clarita

The MGN program consists of 2 hour sessions every Sunday from January 28 to May 13. This application is due by Saturday, January 7th at 11:59 PM. If you have any questions please e-mail Syed Hussaini the Outreach Coordinator at the Council of American Islamic Relations - LA at shussaini@cair.com.
1.First and Last Name(Required.)
2.Age(Required.)
3.Date of Birth(Required.)
4.E-mail address (non-school email if possible)(Required.)
5.Home Address (home number, street name, city, and zip code)(Required.)
6.School Name(Required.)
7.Grade level(Required.)
8.Expected year of graduation(Required.)
9.Home Masjid (the masjid you attend the most or live closest to)(Required.)
10.How did you hear about this program?(Required.)
11.Why do you want to join this program?(Required.)
12.What are your thoughts on community activism?(Required.)
13.What career field do you aspire to pursue?(Required.)
14.What does the word "justice" mean to you?(Required.)
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