Committee Member Application and Nomination Form

Term: Jamadi-us-Thani 1439H Jamadi-us-Thani 1440H

Section 1.Name, Contact and Demographic Information

Name of Applicant: Date of Application:
Home Address:
Home Phone:Home Cell Phone:
E-mail Address:
Age:
Applicant Signature:

Section 2. Committee
1) Please state your interest in two (2) Committee's by circling them. Provide ranking using numbers 1
and 2. Please note that there is no guarantee you will be placed in your primary or perhaps even
secondary committee of choice. Please read attached committee job descriptions.
2) Please give particular attention to section 4.

Rank Committee
Programs Youth Education
Property Maintenance Technology General Services
Accounting and Finance Legal Health
Communication Community Outreach

By legibly printing your name in the statement below, you are attesting to the statement.
I hereby agree to fulfill and honor duties and responsibilities
in their entirety as stated in the job description for the Committee and/or Directorship that would be assigned to
me by the Board of Trustees of IEC Husaini.

Committes Application and Nomination Form

Section 2 continued : Committee Portfolio
3) If you are not selected as a committee member, would you consider a position as a volunteer
assigned to work with one of the committees? (circle) Yes No
4) Have you participated in a departmental committee, served as a volunteer (i.e. Programs, Maintenance,
etc.) and/or the Muharrum and Safar Volunteer Team (VT)? (circle) Yes No — If YES,
please briefly list tasks you performed in the space provided below.
5) Irrespective of your desired Committee portfolio, please discuss at least 3 OPERATIONAL
improvements you would work to implement at IEC Husaini?


5) Irrespective of your desired Committee portfolio, please discuss at least 3 OPERATIONAL
improvements you would work to implement at IEC Husaini?


6) Do you clearly understand that a committee position requires commitment and sacrifice of personal
time and physical effort throughout the term; sometimes on very short notice? (circle) Yes No


Section 3 . Commitment
7) Do you clearly understand that during the very important and vital months of Ramadan, Muharrum
and Safar, you will be required to attend multiple programs during the work week and be asked to open
or close the IEC Husaini facility and assume cross-functional tasks to maintain operational integrity?
(circle) Yes No
8) Do you clearly understand and agree that a possible lack of commitment in a committee position
may have a negative impact on operations, finances and future growth of the organization?
(circle) Yes No
9) (Optional) Please briefly discuss experiences, qualifications and/or personal attributes that were not
captured in the responses within this form, but you consider important in support of your application.

Committee Application and Nomination Form

Scetion 4.Qualification Checklist for Board of Directors

Yes No Criteria (please check Y/N boxes)
1) Do you have a strong faith in Usool-e-Deen based on reasoning and the teachings of Quran and Ahlul Bait?
2) Do you practice Froo-e- Deen? Specifically, do you
A. offer obligatory Salat and observe fasting?
B. pay Khums and Zakat when applicable?
C. practice Amr Bil Maroof (enjoining good) and Nahi Anil Munker (forbidding evil)?
D. practice Tawalla and Tabarra?
3) Are you a law abiding citizen or legal resident of the United States?
4) Are you under Taqleed of one of the recognized Maraja’?
5) Do you respect the Ulema, IEC Husaini's Aalim in particular, and comply with his instructions in the Islamic Education Center?
6) Do you have a reputation of a good and just believer (Aadil Momin)?
7) Do you and your immediate family members bear Islamic appearance (i.e., beard for men and Islamic Hijab for women)?
8) Are you a mature, responsible person, and possess administrative and managerial capabilities for contributing toward the achievement of the GOALS of IEC as a committee member and/or director
9) Please circle one of the following options - Have you attended less than 25 %, around 50% or more than 50% of the IEC programs in the last year?
10) Are you planning to leave Chicago metropolitan area for more than two consecutive months?
11) Do you agree to never reject Islamic guidance?
12) Have you ever been convicted or pled guilty in a court of law to any felony or issue involving fraud, perjury, misappropriating property or voilation of trust.
13) Communicate in proper manner (Akhlaq) and cooperate with the officers of IEC?
14) Always support the policies and activities of IEC?
15) Follow the constitution and bylaws of IEC?

Committee Application and Nomination Form

Section 5. Nomination by Two (2) Community Members

1)Name of Community Member: Date of Application:
Home Address:
Home Phone:Home Cell Phone:
E-mail Address:

Signature:
2)Name of Community Member: Date of Application:
Home Address:
Home Phone:Home Cell Phone:
E-mail Address:

Signature:

Section 6. For Completion By Board of Trustees
Is the Nomination ACCEPTED and will the applicant be selected as a Committee Member (circle)
Yes: No:
If YES, please list date and time applicant was notified of the decision by the Trustee and document
the applicant’s acceptance or denial of the selection. Please provide notes below.



If Nomination and selection was DENIED, please list date and time applicant was notified of the
decision by the Trustee. Please provide notes below.



Section 7.Trustees Print,Name Signature and Date
Trustee- Print/Sign/Date:
Trustee- Print/Sign/Date:
Trustee- Print/Sign/Date:

Section 8. A' Alim Signature
Moulana Saiyed Mehboob Mehdi Abidi al-Najafi: Date :