MSA and MFSA at UCSF — Muslim Community Engagement Survey

Confidentiality Note

All information provided will remain confidential and be used exclusively for community enhancement purposes by the UCSF Muslim Student Association and Muslim Faculty and Staff Association.

Name

Please enter your full name

UCSF School

To ensure that we share relevant information and avoid spam, please indicate the UCSF school(s) you are affiliated with:

Please enter your UCSF email for future communications.

Phone Number

Please enter your phone number for text communication. (Optional)

Phone

Preferred Frequency of Communication

How frequently would you like to receive updates and news?

Monthly

Quarterly

Occasionally for events

Interested Types of Events

Please select the types of events you are interested in attending

Volunteering Interest

Would you be interested in volunteering for community events when and if needed depending on your availability?

Yes

Maybe

Additional Comments

Please share any additional activities or resources you would like us to offer, challenges you face as a member of the UCSF Muslim community, suggestions for how we can better support the UCSF Muslim community, or any other suggestion or comment.

Form Date Field

mm/dd/yyyy

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