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Contact Information
Email Address *
Full Name *
Phone Number Ext:
Help Topic *
*
Community Assistance Program (CAP) Please completely fill out and submit this form to request financial aid from ICF. A hard copy of this form can also be obtained from the ICF Office. Due to an overwhelming number of applications, currently, we are experiencing a 2-3 weeks delay in processing applications. Only US Citizens and legal US residents are eligible For any questions, please email cap@friscomasjid.org.
Applicant Details
Applicant Full Name * Spell out your first name exactly as it appears on your identity document. You will be asked to present a copy of an identification document during application processing.
Phone Number *
Alternate Phone Number
Street Address *
Address Line 2
City * Please note that, as per policy, financial aid is given to people living in the Dallas-Fort Worth (TX) area only.
State *
Zip Code *
Gender *
Date of Birth * (mm/dd/yyyy) (CDT)
Official ID Information *
ID Number *
MANDATORY: Please upload a copy of your ID. * Drop files here or choose them
Marital Status * Select all that apply
Spouse Name
Please explain if you have any permenant or temporary disability or serious illness?
Employment and Income Details Note: ICF may contact your employer for verification
Job Status *
Monthly Salary/Wages * Including tips and commissions
History of Financial Aid ICF will decline any application if the following questions are skipped for falsely answered. Answering "Yes" to any of these questions DOES NOT NECESSARILY DENY your application.
Have you or any of your dependents ever received any Financial Aid/Assistance from ICF *
If yes, amount?
In the last six months, have you or any of your dependents received any Financial Aid/Assistance or is currently receiving any Financial Aid/Assistance from any Government agency/department, any Masjid or organization other than ICF? *
If yes, amount?
In the last six months, have you or any of your dependents been denied or declined any Financial Aid/Assistance request by any Government agency/department or any Masjid or organization? *
Details of Financial Aid Needed Please specify your financial needs. For utilities and rent, ICF issues checks to utility or rental companies/landlord ONLY and NOT in the name of the applicant.
Amount *
Explain the reason
MANDATORY: Please upload a copy of your bank statement for the last three months * Drop files here or choose them
MANDATORY: Please upload a copy of the lease, contract, or equivalent for your home. * Drop files here or choose them
Attachments Upload any supporting documents. This may include a copy of your lease agreement, pay-stubs, utility bills, and similar. Drop files here or choose them
Additional Comments Enter any other information you may want to share with the CAP committee in order to process your application
Preparer's Details If you are preparing and submitting this application on behalf of someone else, please complete the following details.
Preparer's Name
Preparer's Contact # Ext:
Preparer Reasoning Include brief description of why are you preparing this application on behalf of the beneficiary?
Delcaraction by Applicant I grant the Islamic Center of Frisco (ICF) permission to contact other masjids and organizations and my references for purposes of verifying and/or supplementing the information in this application. I understand that ICF may seek another local masjid/agency/organization’s cooperation in resolving my situation and that I may be asked to participate in programs (counseling, job training, education etc.) as a condition of any grant or assistance. I understand that if any information given turns out to be false or untrue, this application will automatically be denied. I hereby render ICF as the official representative of the Zakat/Sadaqah funds that are released to me and give ICF’s Community Assistance Program (CAP) Committee authorization to make direct payments of my obligations on my behalf. I solemnly swear that the foregoing information is true and correct to the best of my knowledge, information and belief.
Consent * I agree and give ICF my full consent.
CAPTCHA Text *

Open a New Ticket

Contact Information

Community Assistance Program (CAP)

Applicant Details

Employment and Income Details

History of Financial Aid

Details of Financial Aid Needed

Preparer's Details

Delcaraction by Applicant

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