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Price:
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First Name:
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Last Name:
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School Name:*
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Year Established:
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CISNA Member:*
CISNA Member is Required
No
Yes
Website:
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Name of Affiliated Islamic Center:
Name of Affiliated Islamic Center is not valid
Does school share physical space with the Islamic Center?:
Does school share physical space with the Islamic Center? is not valid
Yes
No
Physical Address:*
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Mailing address if different from physical address:
Mailing address if different from physical address is not valid
Phone:*
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Name of Principal/Head of School:
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Email of Principal/Head of School:
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Name of Additional Contact:
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Email of Additional Contact:
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Name of Board President:
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Email of Board President:
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Name of Office Administrator:
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Email of Office Administrator:
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Accredited by:
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Accredited Since:
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Boys Only School
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Total Enrollment (KG):
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Total Enrollment (GRADES 1-5):
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Total Enrollment (GRADES 6-8):
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Total Enrollment (GRADES 9-12):
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Total Number of Alumni (8th Grade):
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Total Number of Alumni (High School):
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Total Staff (Teaching Staff):
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Total Staff (Non-Teaching Staff):
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First Name:*
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Last Name:*
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Affiliated School:*
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Job Title:*
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School City:
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School State:*
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School Zip Code:
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Best Email to Provide Webinar Links and Communications:*
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