Micro-Grant Application


Application for Receiving
Emergency Cash Assistance

Need Help?

Fill out the form.


These are temporary funds. The fund is dependent on the amount of donations we receive and are limited. Assistance is given to the most urgent cases first of a one-time relief payment. Once you qualify, we will use your email address to send you a payment via PayPal or Zelle. We can send payments quickly this way.

Privacy Notice

The privacy of the applicants applying for donations is of utmost importance to us. At no time will your name or details be shared with anyone in the public, on our website, marketing pages, or to the community at large. The only people that will be reviewing your application will be the Application Review Committee who will review each application diligently and with the utmost respect to the privacy of the individual.  The members of the Application Review Committee have all agreed to a privacy oath.

    PayPalZelleMail it to my house addressDrop it off to my houseOther

    Some of our donors have donated “zakat” which is a specific fund in the Islamic faith that dictates that zakat donations must be made out to Muslims who have less than the nisab amount of wealth, approximately $5,500 (cash savings + commercial assets - debts) in one year. Do you qualify for this zakat fund? (Check with our zakat calculator.)

    Yes, my total wealth for this entire year (cash savings + commercial assets - debts) is less than $5,500USDNoI don't know

    How much do you normally earn per hour (including tips) before Covid19?*

    How many people in your household are 18-59 years old, including you?*

    How many people in your household are younger than 18 years old?*

    How many people in your household are 60+ years old?*

    Reference 1:

    Reference 2:

    Document types permitted: jpg, jpeg, png, gif, doc, docx, pdf

    If you have any questions about the application form, you may contact Br. Ibrahim on WhatsApp (203) 948-0461.


    I testify in front of Allah (God) that the information provided on this form is true and accurate to the best of my knowledge. I agree that the information provided in this application will be utilized in connection with this request for zakah/sadaqah because I have been adversely impacted by the coronavirus (COVID-19).

    I acknowledge that my application can only be reviewed once I complete the application entirely and send all of the documents needed.