Membership

Membership Form

Complete this form to apply for membership with the Council of Shia Muslim Scholars of North America.

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Title(Required)
(Select all that apply)
Preferred Name(Required)
Your Name (as it appears on ID)
Mailing Address(Required)

Social Media Presence

Where applicable, please include a link to your digital portfolio, social media, or any online profile that showcases your work and achievements.
If applicable, please provide a link to your digital portfolio showcasing your work, skills, and achievements.
If applicable, please provide a link to your Linkedin Page.
If applicable, please provide a link to your Instagram Page.
If applicable, please provide a link to your X (formerly Twitter) Page.
If applicable, please provide a link to your Facebook Page.
Languages Spoken(Required)
(Select all that apply)
Lectures In(Required)
(Select all that apply)
Hawzah Study Level(Required)
Hawzah Major(Required)
(Select all that apply)
Academic Studies Level
Skills & Capabilities(Required)
Affiliated Center 1 Address
Affiliated Center 2 Address

Profile Photo

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    Your Biography

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