Name:
Street Address:
City:
State:
Zip:
Telephone:
Email:
Date of Birth:
Gender:
M
F
Highest Level
of Education:
Occupation/Planned
Occupation (if currently student):
Extra-curricular
Affiliations/Organizations (i.e. MSA, Local Masjid,
CAMP, ACLU, other)
ISNA Confirmation
#:
NOTE: An ISNA confirmation # is required in order to be admitted to ALIM@ISNA however ALIM registration can and should be completed online. .
Have you attended
an ALIM program before? If so, which program(s)?
Where did you find
out about this program?
Would you be
interested in volunteering with ALIM in the future?
Optional
Essay - Please
comment on at least ONE of the 3 topics below(minimum
of 250 words per essay): Please note that if you opt out of writing an
essay, we may call you to discuss your application
further.
1. Muslim Americans
between Public and Private spaces
2. An Examination
of Alternative Islamic Education Models for Muslims
in America
3. A Modern Examination
of Relations between Muslims and Non-Muslims in light
of the Prophetic model.
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. We must limit the class size to
175 attendees.
Please scroll down and donate
instantly online OR send donation to:
Mail to: A.L.I.M. Canton, MI 48188
