Advanced Islamic Studies Year 1- 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

Are you taking these classes for Credit or Audit? (If you are auditing, please skip the program selection portion of this form and go straight to the next question) *

Credit Audit

What classes would you like to audit? Please note you can only audit up to 2 classes at a time. If you would like to audit more than 2 classes, please reach out for academic advising at admin@kufah.org

Select Program(s) *

Track B (Evenings and Saturday)

Hadith 200A (Track B: Evening & Saturday) History of Islamic Scholarship (Fall 2026) (Track B: Evening & Saturday) Usul al-Tafsir (Spring 2027) (Track B: Evening & Saturday) Arabic 201 (Track B: Evening & Saturday) Arabic 201 (Track B: Evening & Saturday) Al-Ghazali R (Track B: Evening & Saturday) Tafsir Juz 1–5 (Track B: Evening & Saturday)

Attendance Options *

In-Person Hybrid

Hybrid Attendance Details *

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 in college or have you completed an undergraduate degree? *

Yes No

College / Undergraduate - Institution & City *

College / Undergraduate - Field of Study / Major *

College / Undergraduate - Credential *

College / Undergraduate - Graduation Year *

College / Undergraduate - GPA *

Are you currently enrolled in or have you completed a Graduate / Professional program? *

Yes No

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

Graduate / Professional - Field of Study / Major *

Graduate / Professional - Credential *

Graduate / Professional - Graduation Year *

Graduate / Professional - GPA *

Are you currently enrolled in a seminary or have you completed a seminary program? *

Yes No

Seminary Level Education - Institution & City *

Seminary Level Education - Field of Study / Major *

Seminary Level Education - Credential *

Seminary Level Education - Graduation Year *

Seminary Level Education - GPA *

What are you future education/career goals? *

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

How did you hear about Kufah Institute? *

Masjid Darus Salaam Friend/family referral Social media Website Flyer Other

Will you need financial aid? *

Yes No

Scheduling Conflicts or Accommodations Needed

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

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

Advanced Islamic Studies Year 1- AY 2026-2027

Student Information

Emergency Contact

Enrollment Type

Program Selection

Track A (Daytime)

Track B (Evenings and Saturday)

Full Time (Track A and B)

Additional Information