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ALIM Seerah Application Form

Name:
Street Address: City:
State: Zip:
Telephone: Email:
Date of Birth: Gender:
Highest Level of Education:

Occupation/Planned Occupation (if currently student):

Extra-curricular Affiliations/Organizations (i.e. MSA, Local Masjid, CAMP, ACLU, other)
Are you interested in babysitting for your children? How many?

NOTE: Babysitting is available for children of ages 2 -7 years.

Have you attended an ALIM program before? If so, which program(s)?
Where did you find out about this program?
Which venue in specific (i.e. ISNA Website, Email, ISNA Newsletter, your local Masjid...)
Would you be interested in volunteering with ALIM in the future?


Short Response
- Please describe what you hope to gain from this program and its importance in your life.

Due to the high volume of expected applicants, please send in the application form immediately (email applications acceptable). The class will fill on a first-come, first-served basis, and is limited to 175 attendees.

Fee: $50/Student, $75/Professional, and $135/Couple. Food and Lodging is not provided. There will be a $20 late fee after Nov. 1st.

Online Payments can be made after hitting submit on the application form.

Make all checks payable to:
A.L.I.M.
364 Belvedere
Canton, MI 48188

 

For Financial Assistance email: phoenix@alimprogram.com

 

ALIM seeks to provide access to all students, regardless of financial status. In order to do this we have established a scholarship fund. Please donate generously.