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Darul Uloom of Atlanta Al-Farooq Masjid of Atlanta DarulThe Darul Uloom Uloom of Atlantaof Atlanta [A Unit of {AAl Unit-Farooq of Al-Farooq Masjid Masjid of of Atlanta] Atlanta} th 442 14 Street NW, Atlanta,th Georgia. 30318. | Tel: 678-886-3457 – 404-874-7521 | www.alfarooqmasjid.org 442 14 Street NW, Atlanta, Georgia - 30318 Admission Packet / Application / Admission Rules / Tuition & Withdrawal Policy / Required Documents / Declaration 2019-2020 SN Item Check List 1. Admission Application Form Key Features 2. Guardianship Authorization Form ➢ Islamic Education 3. Arrival & Dismissal Procedure 4. Photograph/Image Consent ➢ Qaidah/Tajweed/Qira’ah 5. Uniformed Code Of Dress ➢ Nazrah-Qur'an Reading 6. Programs & Courses 7. Required Documents ➢ High Quality Tahfeez-ul-Qur’an 8. Admission Rules ➢ Qur’an Revision 9. Students Code Of Conduct 10. Boarding & Food Policy ➢ Arabic Language 11. Boarding & Class Do’s & Don’ts ➢ Pre-Alim (Intro -Alim) 12. Online Schooling & Computer Lab 13. Schooling & Computer Lab Policy ➢ Alim (Arabic/Islamic Studies) 14. Tuition & Withdrawal Policy ➢ Islamic Studies 15. Sibling Policy 16. Fees/Tuitions ➢ Academic Education 17. Payment Options & Policy ➢ Practical/Ritual/Akhlaq 18. Non-Discriminatory Policy 19. Discipline Policy & Consequences ➢ Tests/Competitions 20. General Points ➢ Qualified Teachers & Instructors 21. Declaration ➢ Established Computer Lab Note ➢ Beautiful Boarding System Please read the entire Admission packet carefully ➢ Daily Sports and put check mark against each item mentioned above in the packet. ➢ Food Facility 1 ➢ Extra-Curricular DarulThe Darul Uloom Uloom of Atlantaof Atlanta [A Unit of {AAl Unit-Farooq of Al-Farooq Masjid Masjid of of Atlanta] Atlanta} th 442 14 Street NW, Atlanta,th Georgia. 30318. | Tel: 678-886-3457 – 404-874-7521 | www.alfarooqmasjid.org 442 14 Street NW, Atlanta, Georgia - 30318 Admission Packet / Application / Admission Rules / Tuition & Withdrawal Policy / Required Documents / Declaration Instructions to fill and submit the application: • Pick up the application from Darul Uloom office or Download from the Al-Farooq Masjid website • Print it out on two sides • Read the entire packet to yourself and the applicant, specially K-12 (online-homeschooling) information • Fill it in blue or black • Sign all the required pages • Attach all required documents And submit in person or mail to: (Mufti) Muhammad Sajid Darul Uloom of Atlanta Al-Farooq Masjid of Atlanta 442 14th Street NW, Atlanta, Georgia 30318 For more details, please contact: (Mufti) Muhammad Sajid Imam Al-Farooq Masjid of Atlanta 678-886-3457 [email protected] 2 DarulThe Darul Uloom Uloom of Atlantaof Atlanta [A Unit of {AAl Unit-Farooq of Al-Farooq Masjid Masjid of of Atlanta] Atlanta} th 442 14 Street NW, Atlanta,th Georgia. 30318. | Tel: 678-886-3457 – 404-874-7521 | www.alfarooqmasjid.org 442 14 Street NW, Atlanta, Georgia - 30318 Admission Packet / Application / Admission Rules / Tuition & Withdrawal Policy / Required Documents / Declaration Picture Identification Form Student’s Name:_______________________________ Date of Birth:_________________________________ Height:______________________________________ Current Color:_______________________________ ________ Home Phone:_________________________________ Photo Parent Email:_________________________________ Home Address:________________________________ ____________________________________________ ____________________________________________ Father’s Name:____________________________________________________________________________ Phone:_____________________________________ Email:________________________________________ Home Address:________________________________________________________________________ ____ Mother’s Name:___________________________________________________________________________ Phone:_____________________________________ Email:________________________________________ Home Address:_______________________________________________________ _____________________ Local Guardian’s Name (in Georgia):__________________________________________________________ Phone:_____________________________________ Email:________________________________________ Home Address:_____________________________________ _______________________________________ 3 DarulThe Darul Uloom Uloom of Atlantaof Atlanta [A Unit of {AAl Unit-Farooq of Al-Farooq Masjid Masjid of of Atlanta] Atlanta} th 442 14 Street NW, Atlanta,th Georgia. 30318. | Tel: 678-886-3457 – 404-874-7521 | www.alfarooqmasjid.org 442 14 Street NW, Atlanta, Georgia - 30318 Admission Packet / Application / Admission Rules / Tuition & Withdrawal Policy / Required Documents / Declaration Date: _____________________ Admission Application Form Ref No._________________ Programs: Noorani Qaidah | Tajweed | Nazrah | Hifz | Revision | Pre-Alim | Alim | Arabic Language | K-12 Surname: __________________________________ First Name: ____________________________ ____________Middle Name:_____________________________ Date of Birth: ______/______/_______ Age:_____________ Place of Birth: ___________________ ________________________________ Sex: Male Female Street Address: _______________________________City: __________________State: ______ ___ Zip: ________________ Home Telephone (______)___________ Social Security No: ___________-_______-_____________ | US Citizen Yes No | Green Card Holder Yes No | U.S. Visa: Yes No. If Yes provide Visa Expiry date: _________/______/_________ Passport Number: ________________________________ _________________________________ Specify if Boarding (overnight stay) required: No Boarding | Boarding (Mon 8am – Fri 10am) | Boarding (Sun 6pm – Fri 10am)| Boarding (Mon – Sun) Health concerns/Allergies:________________________________________ Health Insurance Name: ______________________________ Number: _____________ Doctor’s Name: ______________________________________________ City / State:______________ ___________Phone No: (_______)______________________ Have you ever been involved with the police? No Yes. If ‘Yes’ please give details and court judgment: ____________________________________________ PARENT/GUARDIAN INFORMATION Father’s Name: ______________________________________________________ Telephone: (_________)_____________ Email: ___________________________ Mother’s Name: _____________________________________________________ Telephone: (_________)_____________ Email: ___________________________ Emergency Contact Name:_____________________________________________ Relationship:_________ _____________ Telephone: (_________)_____________ Local (GA) Guardian Name:_____________________________________________ Relationship:_________ ____________ Telephone: (_________)_____________ I, parent/guardian/student, declare that the above information is true and accurate to the best of my knowledge. I accept and agree to abide by all the rules, regulations and policies of Darul Uloom of Atlanta / Al-Farooq Masjid of Atlanta. Parent’s / Guardian’s / Student’s Name: _________________________________ ________ Signature:_________________________ Date:____________________ Temporary Guardian’s Name: _________________________________ _________________ Signature:_________________________ Date:____________________ FOR OFFICE USE ONLY Admission Fee: _____________________ Security Deposit: _____________________ Advanced Fee: _____________________Total: ________________________ Agreed Fees (Full Time): $375 $475 $500 Other $__________________ | (Part Time): $30 $100 $200 Other $__________________ Payment Schedule: Monthly (5th of each month) Quarterly (beginning of each term) Annually (beginning of each year) Other:___________________ Comments: _______________________________________________________________Amount Received:_______________________ Date:_________________ Administrator's Signature:___________________________________________________ Date:________________________________________________________ 4 DarulThe Darul Uloom Uloom of Atlantaof Atlanta [A Unit of {AAl Unit-Farooq of Al-Farooq Masjid Masjid of of Atlanta] Atlanta} th 442 14 Street NW, Atlanta,th Georgia. 30318. | Tel: 678-886-3457 – 404-874-7521 | www.alfarooqmasjid.org 442 14 Street NW, Atlanta, Georgia - 30318 Admission Packet / Application / Admission Rules / Tuition & Withdrawal Policy / Required Documents / Declaration CARE / GUARDIANSHIP AUTHORIZATION FORM Parents / Guardians I, the undersigned parent / guardian of________________________________________________________ do hereby grant (temporary guardian name) _______________________ __________________________________ the authority to take temporary care / guardianship of the following persons: (1) Name:________________________________________________________________________________________ (2) Name:________________________________________________________________________________________ (3) Name:________________________________________________________________________________________ Parent’s/Guardian’s Name: _____________________________________________________ Phone:______________ Current Address:________________________________ City:____________ State:__________ Zip:_______________ Signature: ____________________________________________________________________ Date: ______________ ================================================================================================ Local (GA) Temporary Guardians I, the undersigned, temporary guardian of______________________________________________________ do hereby accept and agree to take temporary care / guardianship of the above mentioned persons. Temporary
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