Aisha Cultural Center

Zakat Assistance Application Form.

 

Applications from for the East Orlando area residents are the first priority.

To ensure the proper distribution of Zakat funds, every applicant must submit clear copies of the following:

  1. Photo ID: For the applicant, spouse and all dependents; Driver’s License, State I.D. or Passport
  2. Social Security Card (For all those that provided photo ID as identification.
  3. Lease Agreement (If renting)
  4. Proof of income (i.e. last pay stub)
  5. Current tax return.
  6. Other documentation that might help in the evaluation; such as medical reports, receipts, billing statements, etc.

All fields are required on this form except where noted “Optional”. All information is confidential and intended only for restricted internal use by authorized Zakat committee personnel and used exclusively for evaluation of Zakat requests.

Please attach/upload the scan/picture of the identification proof you will use.

For more information please contact the zakat committee by email only 

Contact us: zakatInfo@aishacenter.com

    Have you applied for Zakat assistance before?

    Gender

    Place of Residence

    Marital Status

    Are you a "Citizen" or "Permanent Resident" or "Legal Resident" of U.S.?

    Select One Identification Proof

    Employment Status

    Expenses

    REFERENCES: Please list at least 2 individuals-references who can confirm and verify the information you have provided on this application. References should not be immediate relatives, people who live with you or current zakat recipients.

    I have read and understand the criteria for considering my application for zakat. (If YES, Please check box)

    I hereby declare that the information provided is true and correct