Online Islamic studies Programs 1444AH-1445AH 2022-2023 Admissions Application Form

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This is the application for the Online Islamic & Arabic Studies Programs at Salaamah Institute, located in Columbus,Ohio USA. Please be sure to read each section carefully and fill each section out completely. Any applications filled inadequately cannot be reviewed properly and may affect your acceptance status.

Email *

First Name *

Middle Name *

Last Name *

Date of Birth *

YYYY

Gender *

Male

Female

Mobile Number *

Can You Receive Text-Message On This Number *

Yes

Street Address *

City *

State *

Zip Code *

Country *

Emergency Contact Person Full Name *

Emergency Phone Number *

Relationship *

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