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Enrollment Form
Student Full Name
Father/Guardian Name
Date of Birth (MM:DD:YY)
Gender
Male
Female
Home Address
City
Home Telephone
Cell Phone
Emergency Phone
Email
Message
Select a Full-Time Course
Select
Qa'idah
Nazirah
Hifz
Please select all that apply
First Time Student
Completed Hifz
Memorized Few Parahs
No. Of Completed Parahs(if any)
1
2
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Name of Previous School (if any)
Date of Admission (MM:DD:YY)
Please Select your Madrassah
Masjid-e-Suffah(Skokie)
Suffah Educational Branch(Chicago)
Additional Comments
Submit
Click here to download the admission form
