Full name: *

First Name

Last Name

Age: *

15 - 25

25 - 35

35 - 50

50+

Gender: *

Male

Female

WhatsApp number: *

Country

(###)

###

####

Have you studied Arabic before? *

Yes

No

Your Arabic listening/comprehension level: *

1 = weakest 5 = strongest

1

2

3

4

5

Your Arabic speaking level: *

1 = weakest 5 = strongest

1

2

3

4

5

Your Arabic reading level: *

1 = weakest 5 = strongest

1

2

3

4

5

Your Arabic writing level: *

1 = weakest 5 = strongest

1

2

3

4

5

Can you read the Quran? *

Yes

Yes, with some difficulty

No

I acknowledge that all information provided is accurate to the best of my knowledge and ability. I promise to adhere by the timing of my class and will attend more than 85% of them. I am serious about learning the language of the Quran and will try my best to complete homework, assignments and to practice outside of class time. I pledge to respect my teacher and fellow classmates within and outside of class times. I pledge to not share any learning material to a third-party, as it is a breach of trust. *

Yes