Diploma in Islamic Studies - AY 2026-2027

Full Legal Name *

Date of Birth *

Email *

Gender *

Phone Number *

Home Address *

Emergency Contact Name *

Relationship to Student *

Emergency Contact Phone *

Emergency Contact Email

Attendance Options *

In-Person Online (Live) Hybrid

Hybrid Attendance Details

Are you taking these classes for credit or audit? (If you are auditing, please skip the program selection section and only answer the following question related to which classes you would like to audit) *

Credit Audit

Which classes you would like to Audit? (Maximum of 2 classes. If you would like to sign up for more, please reach out to support@kufah.org for academic advising) *

Select Program(s) *

Track B (Evening and Saturday)

Aqidah (Track B: Evening & Saturday) Journey Through the Ihya (Track B: Evening & Saturday) Mukhtasar Riyadh us Saliheen (Track B: Evening & Saturday) Mukhtasar Riyadh us Saliheen (Track B: Evening & Saturday) Schematic Overview of the Quran (Track B: Evening & Saturday) Sirah & Nubuwwah (Track B: Evening & Saturday) Sirah & Nubuwwah (Track B: Evening & Saturday)

Track A (Daytime)

Arabic 101 (Track A: Daytime) Arabic 101 (Track A: Daytime) Fiqh of Worship (Track A: Daytime) Fiqh of Worship (Track A: Daytime) Foundations of the Islamic Tradition (Track A: Daytime) Tafsir of Selected Surahs (Track A: Daytime) Tafsir of Selected Surahs (Track A: Daytime) Tajweed (Track A: Daytime) Tajweed (Track A: Daytime)

Did you take the evenings and Saturday DIS classes this year? (if so, you will be automatically registered for Arabic 100 instead of Sirah) *

Yes No

Prior Islamic Education Experience *

What do you hope to gain from this program? How do you expect this program to help you in your future goals? *

Have you completed high school? *

Yes No

High School - Institution & City (if graduated within the past 10 years) *

High School - Graduating Year *

High School - GPA *

Are you currently enrolled in or have you completed an undergraduate degree? *

Yes No

College / Undergraduate - Institution & City *

College / Undergraduate - Field of Study / Major *

College / Undergraduate - Credential *

College / Undergraduate - Year *

College / Undergraduate - GPA *

Have you completed any graduate level studies? *

Yes No

Graduate / Professional - Institution & City (If applicable) *

Graduate / Professional - Field of Study / Major *

Graduate / Professional - Credential *

Graduate / Professional - Year *

Graduate / Professional - GPA *

Have you completed any seminary level education? *

Yes No

Seminary Level Education - Institution & City *

Seminary Level Education - Field of Study / Major *

Seminary Level Education - Credential *

Seminary Level Education - Graduation Year (if Completed) or highest year completed *

Seminary Level Education - GPA *

What are you future education/career goals?

SAT/ACT Score (if available and taken within 5 years)

Will you need financial aid? *

Yes No

Scheduling Conflicts or Accommodations Needed

How did you hear about Kufah Institute?

Islamic Society of New Tampa (ISONET) Friend/family referral Social media Website Flyer Other

I consent to receive informational emails, SMS notifications, alerts communication from Kufah. Message frequency varies. Message & data rates may apply. Email info@kufah.org for assistance. *

I agree

I consent to receive marketing and promotional emails, SMS notifications, alerts communication from Kufah. Message frequency varies. Message & data rates may apply. Email info@kufah.org for assistance *

I agree

Diploma in Islamic Studies - AY 2026-2027

Student Information

Emergency Contact

Enrollment Type

Program Selection

Track B (Evening and Saturday)

Full Time (Track A and B)

Track A (Daytime)

Additional Information