About You
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Your Organization
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Organization Website
Type of Organization
Elementary School
Middle School
High School
College/University/Professional School
Religious Institution/House of Worship
Community Organization
Senior Residence or Organization
Professional Organization (Medical, Legal, etc)
Government/Law Enforcement
Corporation
Where will the program take place?
Street Address
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Estimated Size of Audience
Type of Program
In person speaker
Virtual presentation
Film or other program
Dates/Time Requested:
1st Choice
2nd Choice
3rd Choice
Requested Length of Presentation
45 - 60 minutes
60 - 90 minutes
Requested Content
American Muslims: Beliefs and Practices
Muslim Women: Past Present & Future
Ramadan Demystified
The Quran Explained
Cultural Competency for Law Enforcement
Cultural Competency for Medical Professionals
Other
Other information that would be helpful in planning for the presentation
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