(ESL) English as a Second Language Program for Adults (Fall 2020)

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Assalam Alaikum!

Many of us aspire to learn English in order to communicate with others and teach them Islam. Alhamdulillah, now it is possible! We are excited to be launching our Adult ESL program for ages 18 and up.

Please contact imamsekta@isak.org for any questions or concerns.

Jazakum Allah Khaira!

Information about the Program

Section 1: Personal Information

First and Last Name *

Age *

WhatsApp Phone Number for weekly announcements *

Email Address *

Mailing Address *

What level of education have you completed? *

Hight School

Bachelor's

Master's

PhD

What is your exposure to English? *

Have studied English grammar but forgot?

Can read and write, but have not studied grammar

No exposure to English at all

Have you previously attended the English program at Ibn Aljazari Institute? *

Yes

If YES, which level have you previously completed? *

Level 1

Level 2

Level 3

What is your first language? *

Section 2: Emergency Medical Authorization

Please, list your medical history including allergies and medications need to be taken during school time. Please, write NONE if there is not any. *

Section 3: Tuition Fees

Are you an ISAK member? *

Yes (Pay $100) Note: ISAK member is defined as someone who actively pays their dues annulay.

No (Pay $150) (To learn about the benefits of membership, please click here http://isak.us/become-member/)

Please, indicate below if you need any financial assistance: *

Full Assistance (Waive tuition fees but you are still responsible for purchasing the course material or any other services)

Partial Assistance (ONLY pay 50% of the tuition fees)

No Assistance

If you choose FULL or PATIAL assistance, please send any of the following documents to imamsekta@isak.org or bring them to the front office. (Proof of Income, Income Tax, Two latest Paystubs, Other documents that support your case)

Section 4: Media Consent

Do you give us the consent to take some pictures of you during program activities for the purpose of promoting education? *

I hereby give consent to Ibn Aljazari Institute to use my pictures for educational purposes.

I DO NOT give consent to Ibn Aljazari Institute to take a picture of me and use it for educational purposes.

Section 5: Student Sponsorship

Would you like to sponsor students? *

Yes

If YES, please provide us with the number of students you would like to sponsor.

If there is a specific student(s) you would like to sponsor, please state his/her name below.

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