Form

To Receive A Form Fill Out Contact Information.
(Please remember all funds are distributed through a mosque)

For any financial help the following requirements must be met:

  • Must reside in the following states: Minnesota, Wisconsin, Iowa, Michigan, Illinois or Indiana.
  • Must be 18 years of age or older
  • Must complete entire form (Or the form will be denied)
  • Understand that this information is used to determine need and urgency.

**You may be put on a waiting list our funds are limited, as donations come in we will continue to move down the list.**

For any questions on the requirements please email support @

E-mail: Support@jamiilashouse.com

Islamic Education Fund
Mashallah Foundation
Shiloh's Love Foundation

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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Thank you! We will get back to you as soon as possible.

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