The Wellness Centre - Signup Form
Welcome to the Wellness Centre community.

We are a group of individuals committed to building a trained, productive, intelligent, and innovative network of Muslims with the goal of generating leadership, direction, and vision for the community.

We aim to empower ourselves and those around us, through proper development to serve greater causes, find solutions for chronic problems, plan, and be proactive in addressing communal issues.

As was the case with our forefather Ibrahim (peace be upon him), the healthy individual is one who continuously endeavours to be in service. By being exemplars of goodness (imams), positive change in society can occur and reform achieved. We strive to be worthy of this responsibility and to model this ideal to those around us.
In short, we aspire to build ourselves as exemplars of healthy Muslims who strive to change the world, one person at a time, together, starting with ourselves.

We are honoured to have you join our growing community by completing the questions below.

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Full Name *
Email Address *
Phone Number
Age *
What is your ethnicity? *
What is your religion? *
Gender *
Occupation (including student or homemaker)?
Why would you like to sign up to be a part of the Wellness Centre community?
If you would like to volunteer, what areas would you like to help out with?
What are your strengths, past experience, or interest? (Choose any or all that apply)
What programs would you like to see offered at the Wellness Centre? (Choose any or all that apply)
What do you think are the most important issues currently facing our community?
Thank you kindly for providing us with your answers. We are blessed to have your input and appreciate your feedback. Feel free to share anything else with us below.
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This form was created inside of Muslim Wellness Network Charitable Organization.

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