Qur'an Review Program Application Form

Qur'an Review Program Application Form

In the name of Allah, the extremely merciful, the eternally merciful.
This form is to be filled out by students. If you are a parent, please fill it out from the perspective of your child. Kindly ask your child all the questions, especially regarding their level of proficiency and expectations. In addition to performing Istikhara, please also encourage your child to pray and make du'aa. a detailed method of Istikhara can be found here.
Name*

First NameLast Name
Age*
Gender*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
YesIf not, please state how many Juz' you have memorized.
Where have you completed Hifdh?*
Hifdh Teacher Name (Enter multiple if applicable)*
Hifdh Teacher Contact info (Phone Numbers and/or Emails)*
When did you begin Hifdh?*
When did you complete Hifdh? *
What is the level of your Dawr (Review) right now? Do you have a Dawr regimen you follow?*
What is the level of proficiency you want to achieve?*
What is your expectation for the Qur'an Review Program at House of Qur'an?*
How did hear about this program?*
Yes
Should be Empty: