IQRA Application Form - Special Needs

IQRA Application Form - Special Needs - English

North America ONLY. Ages 6+. Please fill out a separate form for each student.
FemaleMale
Child's Name*

First NameLast Name
Child's Age*
Parent's Name*
Parent's Email*
example@example.com
Parent's Email*
Parent's Mobile Phone Number*
WhatsappTelegramNone of the above
Country of Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
United StatesCanada
Pacific TimeMountain TimeCentral TimeEastern TimeAtlantic TimeNew Foundland TimeAlaska TimeHawaii TimeOther
My child is completely new to ArabicMy child can identify Arabic lettersMy child can imitate the sound of Arabic lettersMy child can label Arabic lettersMy child can read Arabic letters with vowel signsMy child can read basic Arabic wordsMy child can connect Arabic words togetherMy child understands some Tajweed rulesMy child can read the Quran but makes frequent mistakesMy child can read the Quran and makes a few mistakesMy child can read the Quran fluently with little to no mistakes
My child can answer yes/no questionsMy child can answer who/what/where etc. questionsMy child can follow simple one-step directionsMy child can communicate in EnglishI will be available during my child's class if the teacher requests my assistanceI will help my child to do their homework if neededI understand that this application is not a guarantee of admission
Please state briefly what you hope for your child to achieve by taking this class*
AutismDown SyndromeDsylexiaLanguage Disorder (Receptive)Language Disorder (Expressive)Language Disorder (Pragmatic, i.e. social learning)Specific Learning Impairment (please specify):Other
My child's typical attention span (in minutes):
Please list your child's communications strengths & weeknesses*
Does your child have any sensory sensitivities? If so, please explain:
E.g. hyper/hyposensitivity to auditory, tactile or visual stimuli
Does your child have any special interests?*
This will help the teacher understand your child to better meet their needs.
Please explain anything else you feel we should know about your child's needs:
If you would like to include any professional evaluations pertaining to your child's diagnosis, please upload the file:

Browse Files
E.g. School-based multidisciplinary evalution, private clinic or medical evaluations etc. Cancelof
There will be an interview before admission & the Teacher will contact me when there is availability (please make sure both child and parent are present for the interview)This class will focus SOLELY on proper pronunciation of Quran and Tajweed rulesThis class will be conducted in ENGLISH
20 minutes per session, 2x a week ($119 USD/month)30 minutes per session, 2x a week ($178.50 USD/month)20 minutes per session, 4x a week ($238 USD/month)
Available Class Timings (In New York time. Select ONE. Select two timings IF you chose 4x week)
Students are required to attend class regularlyStudents must be punctualStudents arriving late will not be given extra timeStudents should give a notice to the teacher as soon as they are unable to attendMissing 4 classes in a row w/o notifying the teacher will cause a student to be dropped.No make-up classes will be scheduled when a STUDENT cancels or misses a class.The class will be made-up if the TEACHER cancels or misses a class because of an emergency.Teachers will wait in the Zoom room for up to 10 minutes. If a student either does not inform they will be late or does not show, the time is forfeited for that day.Parents are expected to show respect and cooperate with the teacher in supporting their child's needs.Parent's are required to support their child as needed in completing the assigned homework.There will be no sessions on set marked holidays.Misbehavior or failure to adhere to the policies will cause a student to be droppedStudents canceling payments for ANY reason during enrollment (including holidays) forfeits their spot and will not be held for them for any reason.Students are required to pass an oral assessment before moving on to the Mushaf regardless of prior experience.
Schedule your Interview Call

Select a time below to schedule a quick 10-15 min interview call where we will ask a few questions, explain more about the class and understand where you are in your Quran reading journey. Please have a copy of the Arabic Alphabet and a Quran Mushaf on hand. Please have your child present as well.
Interview Call Time slot*
The student will be on time for the Application Interview or else the student forfeits their spot.If the student cannot show up on the time they have selected, the student will give a 2 hour minimum notice by emailing alhudaiqrao@gmail.com.The student must be present/available during the call to speak to the interviewer.The student understands the intention of this interview is for the teacher and student to decide if this class, IQRA, is a good fit.The student understands if they are accepted into IQRA, they will have 48 hours to register and complete the payment or else the student forfeits their spot.The student will set an alarm/reminder for the selected Interview time so they do not forget.
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IQRA Application Form - Special Needs - English

Schedule your Interview Call