Media Request Form

Host an Event

Date*

Organization Name*

Address

City

State

Zip Code

Contact Name*

Title

Contact Email*

Phone

Cell

Organization Mission

Number of Members

Number Expected to Attend Event

Event Topic

Event Location (W/Blgd & Room #)

Location Address

City

State

Zip Code

Desired Event Date(s)

Start Time

End Time

Time Allotment

Speaking

Q & A

Event Format
Keynote Panel (Please Name Other Panelists Below)

Are we able to pass out handouts?
Yes No

Would you allow media to attend the event?
Yes No

Demographics

Age Range

Profession

Religious Affiliation

% of attendees Muslim

% of attendees Non-Muslim

Honorarium $

Expense Reimbursement
Yes No

Would you be willing to host a reception for leaders?
Yes No

Armed security is requested.

Security Contact

Phone

Contact for Publicity/Marketing

Phone

Other Details/Comments:

Volunteer Application Form

Intern Application Form

Paid and unpaid internships may be available. If you are interested, please fill out and return our application.

Part I. Personal Information

First Name*

Last Name*

Email*

Phone*

Address

City

State

Zip Code

Part II. Education

List all colleges or universities attended beginning with the most recent:

Institution

Degree/Major

Dates Attended

Part III. Availabilty

Please specify what days of the week (Monday-Friday) you are available to work:

Please specify minimum and maximum hours per week you would be available to work:

Please specify what semester/term(s) you’d like to be considered for:

Part IV. References, Cover Letter & Resume

List three references if available or upload two letters of recommendation.

Name

Phone Number

Email Address

Relationship

Years Known

In addition to this application form, make sure you have uploaded the following:

Cover Letter

Your cover letter should address:

Why you want to intern with AIFD?
What interests you about Academic & Scholarly work?
What type of work you would like to do for AIFD?
Prior skills (including computer skills), knowledge (including course work) and work.
Academic experience relevant to an internship at AIFD.
Work experience in, or passion for, Muslim reform issues and advocacy.
Your immediate post-internship plans as well as your longer term career or academic goals.
What you hope to gain from your AIFD internship experience?

Resume

In addition to education and work experience, please identify awards, honors, and
accomplishments, as well as your skills and interests.

*Please read carefully before submitting.

A. I certify that the information contained in this application is true and correct to the best of my knowledge and understand that any false or misleading statements or omissions, whenever discovered, regarding this application are grounds for disqualification from further consideration or for dismissal from an internship placement at AIFD.

B. I understand that only the Director of Operations or her designee has any authority to enter into any agreement for an internship placement at AIFD.

C. I authorize AIFD to verify all references and information provided by me in this application and release AIFD, any person or company responding to any reference or information from any claim or liability regarding any information or opinion supplied. I understand that any offer of an internship placement is subject to satisfactory references.

Sign Up for News from AIFD

Get Involved

Donate Now

Get Connected

Host an Event

Everybody can Help

Press Releases/Commentary

AIFD in the News

Foreign Policy Issues

Domestic Policy Issues

Media Request Form

Host an Event

Volunteer Application Form

Intern Application Form

Sign Up for News from AIFD