New Student Questionnaire Name * First Name Last Name Email * Phone * XXX-XXX-XXXX (###) ### #### Is Student 18 years or Older? Yes No Address Address 1 Address 2 City State/Province Zip/Postal Code Country Student's Grade Level (2025-2026 School Year) * Do you speak multiple languages? No Yes Do you have prior Arabic experience? * None Basic (letters, greetings) Intermediate (reading, short phrases) Advanced (conversation, grammar) What are your goals for Arabic learning? (Click all that apply) Learn to read Quran Improve speaking/conversation Write Arabic Academic Support Cultural Enrichment Other What is your preferred learning format? Online In-Person Hybrid Preferred Schedule Weekday Evenings Weekends Would you be interested in office hours for extra help? Yes No Would you be interested in cultural meetups or learning circles? Yes No Thank you!
