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TEACHER APPLICATION FORM
Full Name (as per ID/passport)
*
Email address
*
Phone Number
*
Please include your Country Code
ID/passport number
*
Ethnicity
*
Arab
Non-Arab
State your ethnicity
*
Please state NA if not applicable
Your Current Colour & Class Code
*
Have you taken the TME course?
*
Yes
No
Are you currently a student of Qur'an outside the Academy?
*
Yes
No
Is your teacher an Arab?
*
Yes
No
Not Applicable
DETAILS
Country of Birth
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country of Residence
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Nationality
*
Citizenship and Resident Status
*
Administrative Detainee
Alien (enemy)
Citizen and Resident
Dual Citizen
Multiple Citizen
Naturalised Citizen
Illegal Immigrant
Migrant Worker
Political Prisioner
Refugee
Stateless person
Permanent Resident
On Working Visa
On Study Visa
On Volunteer Visa
If none of the above, please specify
Complete Residence Address
*
Date of Birth
*
Are you currently or intending to pursue your studies?
*
Yes
No
Marital Status
*
Single
Married
Divorced
Widowed
Spouse Name
*
Please state as NA if not applicable
Spouse Occupation
*
Please state as NA if not applicable
Number of Children
*
Please state as NA if not applicable
Full Name & Age of Child/Children
*
Please state as NA if not applicable
Born/Revert
*
Born Muslim
Reverted to Islam
Religion
*
Islam-Sunni
Islam-Shiite
Islam-Sufism
Other
If other, please state
Read Qur'an
*
Daily
Every Jumuah/Friday
Occassionally
Every Ramadhan
Religious Values
*
Very Religious
Religious
Not Religious
Please mention at least 5 Shuyookh that you often listen or refer to for Islamic Lectures
*
Please mention the title of 5 books on Islam that you like to read
*
"Islam is the way of life."- What do you understand from the statement? (max. 200 words)
*
Are you currently working or have been employed before?
*
Yes
No
PREVIOUS EMPLOYMENT
Please state as NA where it is not applicable
Type of Employment
*
Job Title
*
Name of the Organization/Company/Institution
*
Which Industry?
*
Briefly Describe Your Job Task
*
Length of Employment
*
Less than a month
1-6 months
1-3 years
Over 3 years
Not applicable
Monthly Income
*
If you are bonded or currently employed by an organization/institution/company, please state the name, address, your job title and the year you started.
*
Upload CV With Photo
*
Upload Valid ID/Passport with Photo
*
HIJAB
How would you describe your dressing sense and physical appearance?
*
Wear Niqab
Loose Khimar with designs
Plain & Loose Khimar
Hijab, shirt with long sleeves and pants
Hijab with plain Abaya
Hijab with decorated Abaya
Loose plain Abaya
Fitting plain Abaya
Loose decorated Abaya
If other than above, please specify
Do you wear makeup?
*
Yes in public and in front of my Mahram
Yes in front of my Mahram only
Occasionally in front of public and my Mahram
Occasionally in front of my Mahram
Not at all
Do you wear perfume?
*
Yes in public and in front of my Mahram
Yes in front of my Mahram only
Occasionally in front of public and my Mahram
Occasionally in front of my Mahram
Not at all
Are you willing to change and follow the Dress Code according to Shari'a?
*
Yes
No
LIFESTYLE
Living Arrangement
*
Alone
With my parents
With my friends
With my spouse and children
With my children
Other
If other, please state
Home Type
*
Apartment/Flat
Condominium
Farm
House
Townhouse
Other
If other, please state
Personal Transport
*
Car
Bus
Cycling
Walking
Pushbike
Motorbike
None
Other
If other, please state
Eating Habits
*
Halal food always
Halal food when I can
No special restrictions
Do you converse casually/have small chats/joke with the opposite gender?
*
Yes
Sometimes
No
What is your favourite movie?
*
What is your favourite book?
*
What sort of music do you like?
*
What are your hobbies and interests?
*
How would you describe your personality?
*
Describe your family values
*
Islamic family
Average
Strong family
Traditional values
Other
If other, please state
Are you willing to change your lifestyle following the Qur'an and Sunnah?
*
Yes
No
Can you adapt, be flexible and enjoy the evolving things around you to make the education and the services we provide to Qur'an students better?
*
Yes
No
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Sponsor
Would you like to sponsor a student with financial difficulties ?!
Yes
No