Please fill out the attached pdf form and submit it in person at the Jaam’i Masjid located at 9059 Euclid Ave, Manassas, VA.

Applicant accepts and testifies to the following:

1. Only complete application will be accepted.

2. Applicant has provided true and complete information to the best of his/her knowledge on the form and it may be disqualified for assistance if he/she knowingly provides false information on the application.

3. Applicant may be required to present copies of supporting documents like Driving License, IRS filings, W-2 forms, Utility Bills.

4. The requested assistance will be in the form of cheques.

5. Applicant is responsible for reporting financial assistance to the IRS and other Govt., agencies as required under law.

6. The MMA management may take up to 15 business days for processing application, verifying information and decision making.

For security reasons, please do not send any personal information via text or email to anyone.