Dar al-Burhan | The Jazariya Explained

COURSE APPLICATION

Applicant Information

First & Last Name
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Gender
Male
Female
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Email Address
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Phone Number
Example: +1 905-553-0159
Example: +1 905-553-0159
Date of Birth
/
/
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Age
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Languages Spoken
English
Arabic
French
Urdu
Other
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Location

Country
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City
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Background

How much of the Quran have you memorized
30
15 to 29
5 to 14
2 to 4
Less than 2 Juz
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Have you studied Tajweed formally?
Yes
No
Please choose an answer
Please outline your learning experience of the Quran in the past 3 years
Indicate teachers, school (online/in-person), and  acccomplishments
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Indicate teachers, school (online/in-person), and  acccomplishments
Who is your current Quran Instructor?
I currently attend:
Public School
Private School
Islamic School
University/College
Homeschooled
I work Full-Time
I work Part-Time
I am in school and I work
Other
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Are you a Quran Teacher?
Yes
No
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Sample Recitation

Please upload a recording of your recitation of Surah al-Fatiha
(mp3, mp4, m4a)
Choose a file
(mp3, mp4, m4a)

Tuition Fee

Please select one of the following options:
Student: $200 CAD
Regular: $300 CAD
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How did you hear about this course
Website
Email
Online
Friend/Family
Other
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Declaration

i. The certificate of completion will be granted to students who have attended a minimum of 17 sessions.

ii. I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application.

iii. I understand that my submission of this application does not guarantee acceptance into this course

iv. If this application is successful, I authorize Dar al-Burhan to keep this information in my personal file, and agree to be contacted if further clarification is required.

v. I understand the Ijaza is granted only to students who attain mastery of the text and are granted authorization from Shaykh Dr. Moaaz Safwat


Signature
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