Muslim Leadership Training Program Registration Page

Muslim Leadership Training Program

The vision for the Muslim Leadership Training Program is to train moderate, forward-thinking and spiritually well-versed leaders. Workshops provide a foundation of practical skills, and the knowledge required for individuals to confidently guide and lead within their communities.

There is no tuition fee for this program, however students must complete the registration form below, submit a short essay, and be formally accepted in order to attend. Once you have submitted the following documents to naz@cordobahouse.com, you will receive an email confirming receipt and updating you to the status application.

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Registration Form

I am interested in the Muslim Leadership Training Program. *

Yes

First Name *

Last Name *

Email Address *

Phone Number *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Date of Birth *

Please indicate the highest level of education you have achieved. *

Doctorate degree (PhD, EdD, etc.)

Professional school degree (MD, DDC, JD, etc.)

Master’s degree (MA, MS, MENG, MSW, etc.)

Bachelor’s degree (BA, BS, AB, etc)

Associate’s degree (including occupational or academic degrees)

Some college (1-4 years, no degree)

High school graduate (or equivalent)

Degree Name *

Conferring Institution *

What Mosque/Congregation or Prayer Location do you attend most regularly? *

How did you learn about the program? *

Cordoba House

Found Online

Saw Flyer

I will be attending: *

Workshop Series C (Fall 2016 - 3 workshops on October 29, November 5, and November 12)

Workshop Series D (Spring 2017 - Dates to be announced)

Select any of the following dietary restrictions: *

Vegan

Vegetarian

Halal

Gluten-free

Nut-free

Please check here if you have any accessibility needs, and our staff will reach out to you directly. *

Yes, I have special accessibility needs.

Essay Submission *

Please submit a short essay, between 250-500 words, describing your background and previous experience in the Muslim community, explaining why being a leader in the Muslim community is important to you, and objectives you hope achieve through this program. If you prefer, you may instead email your essay submission directly to ng@cordobahouse.com.

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