Verification Form

Muslim Verification Form

This form helps us ensure that GoMuslim remains a trusted space created by and for Muslims.

Full Name(Required)

Full Name

Email(Required)

Confirmation(Required)

I confirm that I am a Muslim and understand that GoMuslim is a community space built for Muslims.

Do you have someone or a community center that can vouch for you?(Required)

Yes, a person I know

Yes, a mosque or Islamic center

Captcha

Name of Person Vouching for You(Required)

First Last

Please provide details of the person who can vouch for you below — provide information for one of these fields (Phone or Email).

Phone

Name of Mosque or Islamic Center(Required)

Please provide at least one contact detail for the mosque or Islamic center (Address, Email, or Phone Number) below.

Address

Street Address City State / Province / Region

Phone

Please tell us why you want to join GoMuslim so we can review your request.(Required)