Ismaili CIVIC Service Award

The Ismaili CIVIC Service Award for the Southwestern USA honors individuals who have demonstrated exceptional dedication to serving their communities through the Ismaili CIVIC initiative. This award celebrates those who exemplify the spirit of volunteerism by selflessly offering their time, skills, and energy to drive meaningful, positive change across the region.

Why Join?

Civic engagement has long been a cornerstone of the Ismaili community’s values globally. Rooted in the ethic of service, the Ismaili community prioritizes giving back as a way to uplift society and address critical social issues. By engaging in service, we strengthen the bonds within our communities, promote inclusivity, and contribute to the well-being of all, regardless of faith or background.

Recognizing these contributions through this award not only honors individual acts of service but also reinforces our collective responsibility to nurture a more compassionate, equitable, and sustainable world. In celebrating these efforts, we hope to inspire more members of our Jamat in the Southwestern USA to continue this tradition of civic engagement and make an even greater impact.

Page 1 of 3 - Registration

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How does the program work?

1. Pledge Hours (October 2024 - June 2025): Participants can choose how many hours they wish to dedicate.

2. Track Progress: Participants will create a unique ID to track their service hours in real time.

3. Earn Awards: Based on the pledged hours, participants can receive the following awards:
• Impacter: 5-10 hours
• Advocate: 11-20 hours
• Leader: 20+ hours
Event Information

Please fill out the following details prior to opening registration:
Region

This is a hidden field and will not be visible to registrants. Please use this field to share data with the PM Team.
Event Category

This is a hidden field and will not be visible to registrants. Please use this field to share data with the PM Team.
Event Name

This is a hidden field and will not be visible to registrants. Please use this field to share data with the PM Team.
Registration Form

Participant registration begins here
Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
How many hours would you like to pledge?

Impacter: For those just getting started (5-10 hours).

Advocate: For those who regularly contribute (11-20 hours).

Leader: For those who show exceptional dedication (20+ hours).
Unique ID (Please select a unique, easy-to-remember numerical ID)
Gender
Email Address
Phone Number Phone Number - ### - ### ####
Are you open to receiving text messages about this program?
Zipcode
Jamat Khana - Southwest
Parent/Guardian Name (if under 18) Parent/Guardian Name (if under 18) First Last
Parent/Guardian Email Address
Parent/Guardian - Phone Number Parent/Guardian - Phone Number - ### - ### ####
Attendance Data

Please use one of the options below to track participant attendance

Option 1: track attendance directly on google sheet integration file (update "Participant Present" column with Yes or No)
Option 2: check-in participants by editing their individual registration record
Option 3: collect name/DOB at the event and link file here for reconciliation (for anyone who did not fill out a registration form originally, please collect all data fields)

Please ensure all event details/hidden fields have been populated. Once attendance data is submitted, the PM team will consider this form complete. If you need to make any updates after this point, please email [email protected]

Thank you!
Option 1: Attendance data has been added to Google Sheet integration file

Option 1: Attendance data has been added to Google Sheet integration file Check this box to confirm
Option 2: Participant Present

Option 2: Participant Present Yes No
Option 3: Link to Attendance Data File

Ismaili CIVIC Service Award

Ismaili CIVIC Service Award

Page 1 of 3 - Registration

Event Information

Registration Form

Attendance Data