Year of Knowledge Registration Form - Waiting list
Dear Student,

The registration process for the Year of Knowledge program is closed as we have the maximum number of students at the program.
This registration form will be used for the waiting list for the students who have not been able to register.

If a seat in the program becomes vacant, we will contact the student who registered through the waiting list via email.

Jazakum Allahu khayran,
Admin Team
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STUDENT INFORMATION (FILL OUT ONE REGISTRATION PAGE PER STUDENT)
First Name *
Last Name *
Age *
Email *
Phone *
Address *
City *
US State
Country *
What is your highest level of formal education? *
What is your background in Islamic education? *
What would be your primary motivation for joining the Year of Knowledge program?
PARENT INFORMATION (REQUIRED IF STUDENT IS BETWEEN 15 AND 18 YEARS OLD)
Parent: First Name
Parent: Last Name
Parent: Email
Parent: Phone
Parent: Address
 (if different from student)
Parent: City
 (if different from student)
Parent: US State
 (if different from student)
Parent: Country
 (if different from student)
OTHER
Status *
I would like to attend the program (Check all that apply): *
Required
Payment of the registration fee for the course/s I chose: *
The registration fee for the full time students is $2699, and $699 per course for part time students. Note: scholarship program is closed. Installment payments is available only for full time students.
How did you hear about this program?
Which year are you interested in? 
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