The Inheritors' Retreat Registration Application 2017
Peace and welcome to the second annual Inheritors' Retreat application for 2017. 
Please allow a minimum of fifteen minutes to complete this application, as there are a few short answer questions that require adequate thought and consideration.
Section 1:   Personal Information

What is your full name? *

Gender *

Best phone number to reach you *

Parent/guardian name(s) *

Parent/guardian phone number *

How old are you? *

What grade are you in? *

Section 2:   Assessing Retreat Readiness

Short Answer Essay *

In 200 words or less:
Who is a leader you admire and why?
Short Answer Essay *

In 200 words or less:
What intrigues you about our weeklong camp and retreat? How might this week benefit you?
Please include any relevant training and/or life experiences.
Short Answer Essay *

In 200 words or less:
What do you believe is the biggest problem facing the Muslim community in America today, and what is a potential solution for that problem?
We recognize this is a big question and can't be fully answered in 200 words or less. Answer honestly : )
Please provide a minimum of one reference who is not related to you (i.e. a community member, teacher, family friend). For each, you must include the full name of reference, your relation to them as well as their email and phone number. *

References must be able to vouch for you. They will be asked how you, the applicant, exhibits concern for others, responsibility, maturity and interaction with peers, amongst other things.
Section 3:   Program Cost

PARTICIPANTS: Please complete this portion with your parents.

The cost for the week is $1250, all expenses paid. Expenses include room, board, workshops, lectures, activities and materials.

Payment plans available upon request.
Zakat scholarships based on merit and availability.
Are you Zakat eligible? *

Zakat eligibility for pubescent youth is based on the income, assets and overall wealth of the youth, not the parents, provided the youth does not have an inheritance, savings account, etc.

You're almost done! The last thing we're going to ask is if you have any questions or if there's anything else you'd like to include in your application to show us why you would be best suited to join the Inheritors' Retreat.

Questions, comments, concerns?

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