MGN Student Application 2017

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 ykhafagi@cair.com.

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* 1. First and Last Name

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* 2. Age

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* 3. Date of Birth

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

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

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* 6. School Name

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* 7. Grade level

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* 8. Expected year of graduation

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

Al Ansar Masjid

Islamic Society of Orange County

Islamic Institute of Orange County

Masjid Al Noor

Other (please specify)

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* 10. How did you hear about this program?

Social Media

Through a friend who completed MGN

Through CAIR

Through parents

Contacted by youth group director

Other (please specify)

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

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* 12. Why is community activism important?

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

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

100% of survey complete.