SI Registration Form

Sumaiyah Institute- Course Registration Form
First Name
Last Name
Address
Country
Date of Birth
Age
Email
You will be added to our mailing list for updates on new events and courses.
Cell
Employment Status
Marital Status
Highest Education Completed
College/Institution & Major
Islamic Education
What are some of your Islamic Academic Interests?
What keeps your life busy?
Favorite Islamic Authors, Books, Websites
Name of Course(s)
Describe intentions in taking this course
How did you hear about us?
What other courses would you like Sumaiyah Institute to offer in the future?
Questions/ Comments?
Agreement of Trust

The fundamental relationship between a teacher and a student is based on trust. Sumaiyah Institute is a facility that provides free Islamic Education for SISTERS ONLY. In order to safeguard the haya (modesty) of the female instructor, please ensure that no man listens to the voice of the instructor. We request that one uses headphones while listening to the class so that the voice of the instructor can only be heard by the student. We also request that one does not share class links or recordings without prior permission and concession of the Administration of Sumaiyah Institute.
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Sumaiyah Institute- Course Registration Form