ABOUT US
MISSION & VISION
HISTORY
ADMISSIONS
TUITION
REGISTRATION
REQUEST TOUR
DONATE
Employment
CONTACT US
ABOUT US
MISSION & VISION
HISTORY
ADMISSIONS
TUITION
REGISTRATION
REQUEST TOUR
DONATE
Employment
CONTACT US
ISLAMIC COMMUNITY SCHOOL
Application Form
STUDENT INFORMATION
*
Indicates required field
STUDENT NAME
*
First
Last
GENDER
*
MALE
FEMALE
AGE
*
ADDRESS
*
Line 1
Line 2
City
State
Zip Code
Country
BIRTH DATE
*
mm/dd/yyyy
HOME PHONE
*
Languages Spoken at Home
*
Name of any other school/program student attended:
*
Transfer students must submit previous school’s records.
PARENT INFORMATION
Father's Name
*
First
Last
Profession
*
Address (if different from above)
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Cell Number
*
Mother's Name
*
First
Last
Profession
*
Address (if different from above)
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Cell Number
*
Submit
