Al-Hikmah ‘Ālim Course Registration

Al-Hikmah Institute ‘Ālimiyyah Program Registration

Fill out the form carefully for registration
Are you a new student or a returning student?

New studentReturning student
Which year are you registering for?

First yearSecond year
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-Mail
example@example.com
Phone Number
Parent/Guardian Name

First NameLast Name
Parent/Guardian Contact Information
Please enter a valid phone number.
Do you have any medical condition that we should be aware of? If yes, explain.
Are you applying for the ‘Ālim course with academics or without academics?

With academicsWithout academics
Level of Education

Completed 8th GradeCompleted 9th GradeCompleted 10th GradeCompleted 11th GradeHigh School GraduateCollege StudentCollege Graduate
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Al-Hikmah Institute ‘Ālimiyyah Program Registration