MGN at Masjid Al Ansar in Anaheim California

The MGN program consists of 2 hour sessions every Sunday from January 28 to May 13. This application is due by Friday, December 30th at 11:59 PM. If you have any questions please e-mail Yusra Khafagi the Leadership Development Coordinator at the Council of American Islamic Relations - LA at

* 1. First and Last Name

* 2. Age

* 3. Date of Birth

* 4. E-mail address (non-school email if possible)

* 5. Home Address (home number, street name, city, and zip code)

* 6. School Name

* 7. Grade level

* 8. Expected year of graduation

* 9. Home Masjid (the masjid you attend the most or live closest to)

* 10. How did you hear about this program?

* 11. Why do you want to join this program?

* 12. Why is community activism important?

* 13. What career field do you aspire to pursue?

* 14. What does the word "justice" mean to you?

100% of survey complete.