Application

Applicant Information

Name*

Email Address*

Phone Number*

Address*

Date of Birth*

Are you currently a student?*

Occupation*

University Currently Attending*

Major*

End date of December University classes*

Passport Information

Must hold a valid passport that will expire 6 months after return

Passport Expiration Date*

Passport Number*

Upload a picture of passport*

Max. file size: 40 MB.

Applicant Special Needs

List any special needs/requirements needed while on the retreat*

Put N/A for no special needs/requirements

Reference Information

References must be provided by non-family members. References will be contacted.

Reference (1)

Reference (1) - Name*

Reference (1) - Phone Number*

Reference (1) - Company / Organization*

Reference (2)

Reference (2) - Name*

Reference (2) - Phone Number*

Reference (2) - Company / Organization*

Reference Letters
Provide two reference letters that talk to why you should be chosen to participate in this year‘s retreat.

Reference Letter (1)*

Max. file size: 80 MB.

Reference Letter (2)*

Max. file size: 80 MB.

Application Questions

What are your career aspirations post-graduation?*

What community / non-profit organizations are you currently involved in?*

What are your aspirations for community work? Describe any specific projects/initiatives you would like to work on?*

In your opinion, why is it important for you to connect with the Islamic Seminary in the Holy City of Najaf?*

What is your main objective for joining this retreat?*

Have you attended scholar visits in the past? If yes, when, where and with which organization?*

Have you performed ziyarat in Iraq in the past? If yes, when was the most recent trip and with who?*

Terms and Conditions Consents

IT IS IMPORTANT THAT YOU READ AND UNDERSTAND THIS STATEMENT BEFORE SIGNING YOUR CONSENT TO ALL ITS TERMS. IF THERE IS ANYTHING THAT YOU DO NOT UNDERSTAND, THEN PLEASE DISCUSS IT WITH US BEFORE SIGNING.