Hikmah – The Modern Madrasa of Ghana

STEP 1 OF 3

Who is this application for?

🧒

A Child (Grades 2 – 12)

🎓

A youth (18 - 22, university/pre-university)

🧭

An adult / parent / professional

🧒 SECTION A — CHILD (GRADES 2–12)

Basic Details

Full Name*

Date of Birth *

Age *

Current School *

Current Grade *

Parent Details

Parent / Guardian Name *

Phone Number *

Email Address *

Background

Has your child attended any madrasa before? *

Yes

No

What was studied?

Arabic Exposure

What is your child’s current Arabic level?*

None

Recognizes letters

Can read slowly

Can read fluently

Parent Intent (Important)

Why do you want your child to join Hikmah? *

0/700

Child Profile

How would you describe your child? (select all that apply)

✓Curious

✓Quiet

✓Confident

✓Needs encouragement

✓Highly active

🎓 SECTION B — YOUTH (18–22)

Basic Details

Full Name *

Age *

Email *

Mobile No *

Current Institution / University *

Area of Study *

Background

Have you attended madrasa before? *

Yes

No

Arabic Level

Your Arabic level*

None

Basic

Intermediate

Advanced

Intent

What do you hope to gain from Hikmah? *

0/700

Interest Area

What interests you most?(select all that apply)

✓Leadership

✓Philosophy / Ideas

✓Debate

✓Identity & Faith

✓Career Direction

🧭 SECTION C — ADULT

Basic Details

Full Name *

Age *

Email *

Mobile No *

Profession *

Organization (optional)

Arabic Background

Have you studied Arabic before? *

No

Basic

Intermediate

Advanced

Goal

What is your primary goal? (select all that apply)

✓Learn Arabic

✓Understand Qur'an better

✓Personal growth

✓Intellectual engagement

Intent

What do you hope to gain from this program? *

0/700

🔚 FINAL SECTION — ALL APPLICANTS

Availability

Preferred Day *

Saturday

Sunday

Flexible

Preferred Time *

Morning

Afternoon

Evening

Additional Info

Any special notes or learning considerations? (optional)

0/500

Consent

Agreement(checkbox)

I understand that Hikmah is a character and learning program, not a tutoring center.

I commit to regular participation

JazākAllāhu Khayran