ICNA Dawah interest Form

Fill this in with name, contact info, and where they’re at — so our team can follow up properly.

Fill this in right after your conversation — who you are, their name, how to reach them, and where they are at — so the Dawah team can follow up properly.

Your Name * (the Dawah volunteer filling this in)

Their Name *

Their Phone (optional*)

Their Email (optional*)

Their Mailing Address (optional*)

* Please fill in at least one: phone, email, or mailing address.

Their Gender *

Male Female

Mark What You Observed * (check all that apply)

Showed Interest Was curious, asked questions, open to learning more Wants Literature Asked for a Qur'an, books, or brochures — needs follow-up delivery Ready to Revert Expressed intent to take Shahada — needs prompt follow-up Reverted Took Shahada during this interaction Other Something the options above do not cover — describe it below

What did you observe?

Which event did you meet them at? (optional)

If other, which event? (optional)

Conversation Notes (optional)

Visible only to ICNA Calgary Dawah team volunteers, for respectful and timely follow-up with this contact.