Ibn Abbas Hifdh Academy Application - 2025/26

Ibn Abbas Hifdh Academy Application - 2025/26

Parent Information
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Immigration Status*

US CitizenGreen Card HolderStudent Visa / PermitVisit VisaOther
Parent/Guardian Occupation*
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com

Medical Information
If the applicant is allergic to anything, list them below. Write "none" if there are none.*
If the applicant is on any regular medication, list them below. Write "none" if there are none.*
If the applicant suffers from any learning disabilities, please list them below. Write "none" if there are none.*
Was the applicant ever suspended, expelled, or voluntarily withdrawn by the guardians after receiving behavioral concerns from the applicant's school?*

YesNo

Declarations
Please see the points below regarding the Hifdh program at Ibn Abbas Academy:

1. Bus service is not available.

2. All students are required to complete a revision of the Qa`idah and Nazirah (reading via looking) before starting Hifdh if their tajweed is not up to IAHA's standards, even if the student has memorized multiple juz' previously.

3. All students, new and old, are required to complete a full revision of their memorized juz' before receiving a new lesson (sabaq) for memorization.

4. Ibn Abbas Hifdh Academy has a strict behavioral and etiquette policy that results in immediate consequences, which includes, but is not limited to instances of: bullying (online and in person), cursing, unexcused absences, open disrespect of any staff member, etc. Repeated offenses may result in dismissal from the program.

5. I as the parent have reviewed all policies listed on the website and agree to abide by them.
Signature of Parent*

Powered by Jotform SignClear
Should be Empty: