Youth Personal Development Programme

Name*

Email address*

Contact number

Gender*

Male
Female

New Muslim

Yes
No

Age Range

12-15yrs
16-18yrs
19-22yrs

Area

Why would you like to join the Youth Personal Development Programme?

Do you already attend classes at Jamia Almaarif ? Please state which class and teacher (if applicable)

Please give a brief background of yourself and any prior learning

I am interested in...

Social Activities
Islamic Studies
Spiritual Retreats
Sports Club
Arts Club
Volunteering with us
Other (please state)

Other

Favourite books

E Signature*

Date*

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I give consent to Jamia Almaarif for processing information to use the information given in this form only in respect of my Islamic education*

Consent*

I ensure that anyone not registered for Jamia Almaarif courses & classes, will not take part on the on-line sessions without prior disclosure of their identity to the Tutor.*

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Youth Personal Development Programme

Youth Personal Development Programme Form