Kalamazoo Islamic Center (KIC) Application for Zakah 2023 (1444 H)
Filled out Applications must be returned to KIC by April 14. Applications received after the deadline may not be considered for Zakah.

Only one (1) form to be submitted per family. Your information will only be shared amongst the Zakah Committee and will remain confidential.
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Name of Applicant (s) *
Legal Name of Applicant *
Email Address *
Home Address *
Phone number with Area Code *
Would you like to receive Text Messages from KIC to the number above? *
Are you Muslim? *
Gender *
Which Masjid do you normally attend? *
Job Status *
Income $ per week *
Please describe why you think you and/or your family qualify to receive Zakah. *
Do you wish to meet the Zakah Committee in person? *
Please provide references from two KIC members who are not applying for Zakah. *
Please provide name and and valid phone number of the two members below. If both name and number for each member are not provided then the response will be considered invalid.
Allah is my witness; I certify that I have provided true information to the best of my knowledge. *
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