Scholarship

Name*

First NameLast Name
Program*
If registering for Miftaah Online, please specify which class you are interested in enrolling into for the semester.
(Ex: All three classes, Only Tafseer, Online Arabic, etc.)
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Describe Your Financial Need*
Please describe in detail why you or your family cannot afford the tuition fee. If you are interested in paying in instalments., please let us know the full amount you are able to contribute and the first date of withdrawal.
Scholarship Percentage*

25% Off50% Off75% Off100% Off
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