MUS MADRISSA

MUS MADRISSA QUESTIONNAIRE FORM
What is the name of the Islamic Centre? *

Islamic Center *

Address
Address Line 2
Email address	Contact Number
Postal / Zip Code	Country

Name of the charity running the organisation/Islamic Centre?
Charity number
When was the Islamic centre established? *

- Day - Month Year
(Name) Who is the principal of the Madrissa? *
Principal's Contact Number *
Principal's Email Address
Principal's Address
Does the Islamic Center have a resident Alim? *

YES NO
What is the name of the resident Alim: *
Resident Alim: Mobile Number *
Resident Alim: Home Telephone Number
Resident Alim: Email Address
Resident Alim: Full Address: *
Resident Alim: Write down all the languages he can speak: *
Resident Alim: Write down the name of the institution he studied in: *
VOLUNTEER DETAILS
How many total Madrassa Volunteers do you have in your centre? *
How many Madrissa Volunteers have a CRB or DBS Certificate? *
Do you pay the teachers Volunteers for their services? *

YES NO
Write down the names of all the Volunteers, contact numbers & email address

Volunteer 1 details

Name of Volunteer
Address of Volunteer
Email address of Volunteer	Contact Number of Volunteer
Postal / Zip Code	Country

Volunteer 2 details

Name of Volunteer
Address of Volunteer
Email address of Volunteer	Contact Number of Volunteer
Postal / Zip Code	Country

Volunteer 3 details

Name of Volunteer
Address of Volunteer
Email address of Volunteer	Contact Number of Volunteer
Postal / Zip Code	Country

Volunteer 4 details

Name of Volunteer
Address of Volunteer
Email address of Volunteer	Contact Number of Volunteer
Postal / Zip Code	Country

Volunteer 5 details

Name of Volunteer
Address of Volunteer
Email address of Volunteer	Contact Number of Volunteer
Postal / Zip Code	Country

Do you have First Aid Kit & are the staff/Volunteer trained to use it in your Madrissa? *

YES NO
Does your administration have written policies and procedures related to security, and overall Madrissa safety? *

YES NO
SYLLABUS DETAILS
Are you teaching the 7 BOOK MUS SYLLABUS published by MUS in your Islamic Centre? *

YES NO
Does every student in your Islamic centre have the (7 BOOK MUS SYLLABUS)? *

YES NO
Do the students in your Islamic Centre participate in the MUS exam that happens twice - yearly ? *

YES NO
List all weekly youth programs in your Islamic Centre *
Does your Islamic Centre have all the facilities to run a Madrissa? E.g. furniture, staff, Alim *
What help/support can MUS Education department provide to improve the Madrissa? *
Madrissa Monday to Friday
Is the Madrissa open Monday to Friday *

YES NO
Monday to Friday Which days in the week is the Madrissa open? *

Monday Tuesday Wednesday Thursday Friday
Opening Time of Madrissa Monday-Friday? *

: Hour Minutes
Closing Time of Madrissa Monday-Friday? *

: Hour Minutes
How many MALE students attend the Madrissa Monday-Friday? *
How many FEMALE students attend the Madrissa Monday-Friday? *
What is the average number of students attending the Madrissa Monday-Friday? *
Weekend (Saturday & Sunday) Madrissa School
Do you have a weekend School in your Islamic Centre? *

YES NO
In the weekend which day is the Madrissa open *

Saturday Sunday
How many MALE students attend the Madrissa in the weekend? *
How many FEMALE students attend the Madrissa in the weekend? *
What is the average number of students attending the Madrissa in the weekend? *
What is the opening time of the saturday/sunday school *

: Hour Minutes
What is the closing time of the saturday/sunday school *

: Hour Minutes
Provide contact details for local Youth coordinator in the centre

Local Youth coordinator

Name
Address
Email address	Contact Number
Postal / Zip Code	Country

Provide contact details for local women coordinator in the centre

Women coordinator

Name
Address
Email address	Contact Number
Postal / Zip Code	Country

Should be Empty:

MUS MADRISSA QUESTIONNAIRE FORM