Before We Begin

Please tell us who's filling out this application.

I am the *

student

parent/guardian

Let’s start with the primary parent or guardian contact information.

This should be the primary parent or guardian who will serve as the main point of contact throughout the application process — including attending the interview call, in shā Allah.

First Name *

Last Name *

Best email *

Phone number *

Please provide the mailing address for the primary parent or guardian.

This is the address we'll use for official communication or if physical materials need to be mailed.

Address *

City *

State *

Country *

Postal code *

First Name *

Last Name *

Phone Number *

Email *

Relationship to Student *

Mother

Father

Guardian

Other

Now let’s talk about the student.

We’ll start with their name so we know who this application is for, in shā Allah.

What is the student’s first name? *

And last name? *

Student Date of Birth *

Student Gender *

Male

Female

Student Contact Details

Please provide the student’s contact information. Their email is required for onboarding and updates. A phone number is optional, but helpful if we ever need to get in touch directly, in shā Allah.

Student Email *

Student Phone Number

Great! Now let’s learn a little more about the student, in shā Allah...

What is the student’s expected high school graduation year?

Class of... *

What is the name of the student's current school? *

In one line, how would you describe the greatest challenge you/your child is facing as a teenager? *

Think about any challenge—personal, academic, social, or even related to your faith—what's been the toughest for you as a teenager?

What would you describe as your greatest challenges when it comes to studying? Choose TWO (2). *

Think about what’s been most difficult when it comes to studying or schoolwork lately.

Be 100% honest: what do you think is getting in the way of you or your child reaching their full potential in high school? *

Feel free to dive into the details—whether it’s a small frustration or something that's been a consistent struggle.

What do you think is getting in the way of reaching full potential? *

Feel free to go into detail — whether it’s a small frustration or something that’s been a consistent struggle.

Does your family have the financial resources to invest in this opportunity? *

Yes, inshAllah.

Finances may be a challenge, but we're open to discussing possibilities.

Is there anything else you’d like us to know?

You’re almost done!

To complete this application, the final required step is to schedule a short introductory call with our team. This gives us a chance to meet, connect, and learn more about how we can support the journey ahead, in shā Allah.

Click Submit to finish the form and book your time.