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IMAD 2019 Page Program Application
The CIOGC Illinois Muslim Action Day (IMAD) Page Program gives Muslim youth from the Chicagoland area an exciting chance to learn about the legislative process by shadowing state lawmakers at their offices in Springfield, Illinois.

The IMAD Page Program is open to juniors and seniors in high school and first and second year students in college. If you are interested in becoming a CIOGC Page, please apply by the deadline of Monday, March 25, 2019. IMAD will be held on Thursday, April 11, 2019. Learn more at www.ciogc.org.

Name *
First and last name
Email *
Phone number *
Address *
City *
State *
Zip Code *
Grade & School *
Any Civic Engagement OR community service experience? if yes what did you do and where? *
How did you hear about the IMAD Page Program? *
Are you able to attend a Mandatory Training on April 6? (Time & Location TBD) *
Upload your one-page resume outlining your education, your extracurricular activities, volunteer work, and interests.
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