Name
*
First Name
Last Name
Gender
*
Female
Male
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
How many times per week would you ideally like to meet for your one-on-one class?
*
1 session/week
2 sessions/week
3 sessions/week
4 sessions/week
I’m not sure yet
Each session can be either 30 or 60 minutes. Which do you prefer?
30 minutes
60 minutes
I’m not sure yet
Please select all the time ranges that usually work for you for online classes. (You can choose multiple.)
*
Early Morning (6:00 AM – 9:00 AM)
Mid-Morning (9:00 AM – 12:00 PM)
Early Afternoon (12:00 PM – 3:00 PM)
Late Afternoon (3:00 PM – 6:00 PM)
Evening (6:00 PM – 9:00 PM)
Late Evening (9:00 PM – 11:00 PM)
Weekends Preferred Only
Please provide any comments about your preferred times or any specific time slots that you'd like to request.
Please briefly describe your goals for these classes (e.g., tajwīd refinement, Quran reading fluency, memorization, etc..)
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