Scholarship Form

Student Name*

Date of Birth*

Female

Male

Parent Name*

Parent Email*

Parnet Phone*

Job/Occupation?*

Home Address*

Number of household members?*

Total monthly income?*

Total monthly expenses?*

Which class are you applying for?*

How did you hear about Ma'an Academy?*

Why it is important to you that your child learn Arabic?*

How will you support your child's efforts to learn Arabic?*

Yes