D2L Teacher / Student Panel

Hawza Application Form

Study » Traditional Hawza Study » Hawza Application Form

Study Programmes
Study programme*
Personal Details
Title*
Name*
First Last
Date of Birth*
Place of Birth*
Gender*
- Male
- Female
Marital Status*
- Single
- Married
- Divorced
- Widowed
Current Occupation*
Nationality*
Status of Residence*
Passport Number
Date of Issue
Date of Expiry
Contact Details
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Home Telephone*
Mobile Number*
Email*
Family Details
Father's Name
First Last
Father's Occupation
Father's Age
Father's Level of Education
Father's Religious Activities
Mother's Name
First Last
Mother's Occupation
Mother's Age
Mother's Level of Education
Mother's Religious Activities
Spouse's Name
First Last
Spouse's Occupation
Spouse's Age
Spouse's Level of Education
Spouse's Religious Activities
No. Children & Ages.
Health Condition
Academic Qualifications
Name of University
Full Address of University
Title of Degree Programme
Name of Qualification
Qualification Status
Date of Award
Name of University
Full Address of University
Title of Degree Programme
Name of Qualification
Qualification Status
Date of Award
Name of College
Full Address of College
Attended From
Attended End
Personal Statement
Why would you like to study at Hawza?*
Type of Study*
- Hawza - Full time (17+ hours)
- Hawza - Part time (6+ hours)
- Pre-Hawza (Saturday)
Language Skills
Languages*
- English
- Arabic
- Persian
- Urdu
- Other
Level of fluency*
Fluent Average None
Recitation of Quran
Level of Recitation of Quran*
- Advanced
- Average
- Beginners
References
Reference 1 Title
Name*
First Last
Name of Organisation
Address
Telephone
fax
Email*
Reference 2 Title
Name*
First Last
Name of Organisation
Address
Telephone
fax
Email*
Disability
Do you have any Disabilities?*
- Yes
- No
Additional Information
Declaration
Upload your CV ﴾optional﴿
Acknowledgment*
- I confirm that all information presented in this application is true to the best of my knowledge
Date*
Data Protection*
- Under the terms of the Data Protection Legislation (Data Protection Act 2018 and the General Data Protection Regulation 2016), I consent to the Islamic College using my personal data for the purpose of processing: By providing details to the Islamic College, I’m giving my consent to record and store data, such as, e.g. personal details, e-mail address, home address, contact numbers/s, company address and phone number/s. This may be used for various purposes such as, sending newsletters, promoting courses, updates on data protection policy and projects.
In order to process your enquiry / booking, we need to process your data in-line with our Privacy Policy. Please tick here to confirm that you are happy for us to do so. You can view our Data Protection Policy here: www.islamic-college.ac.uk/about/gdpr
Name
This field is for validation purposes and should be left unchanged.

Fluent	Average	None

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Study Programmes

Personal Details

Contact Details

Family Details

Academic Qualifications

Personal Statement

Language Skills

Recitation of Quran

References

Disability

Declaration