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1-Full Name:
2-Term:
3-Phone #:
4-E-mail Address:
5-Are you a...?	Regular Undergrad Co-op Undergrad Graduate Student/Faculty Community Member
6-Have you attended the UW-MSA Khateeb Training Workshop?	Yes No
7-Do you have any prior khateeb experience?	Yes No If 'Yes', please elaborate:
8-If nominated as a khateeb, will you be willing to do at least 1 khutbah per month?	Yes No
9-If nominated as a khateeb, will you be willing to attend one-hour Khutbah Committee meetings once every month?	Yes No
10-Realistically, how long are you expecting to do khutbahs for UW-MSA?	One term 8 months 1 year 2 years+
11-Are there any complications that might prevent you from fulfilling your khateeb role?
12-Questions/Comments?