Muslim Civic Table: Interest form

The Muslim Civic Table is a convening program that will strengthen and connect leading Muslim nonprofit organizations, advocates, and leaders, and will serve as a hub that brings together the larger Muslim community and its allies. 

The state tables will work together to advance equality, justice, and opportunity, and strive to engage, educate, and activate our communities in the democratic process.

Please respond below if you'd like to be a partner of a Muslim Civic Table near you!
Sign in to Google to save your progress. Learn more
*
Organization Website *
Person of Contact: Name *
Phone Number *
Home Address *
Email Address *
Which state Table would you like to be involved with? *
Why would you like to be involved in Muslim Civic Table?
Anything else we should know?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Emgage Foundation. Report Abuse