Select Page

Islamic Counselling: Apply


Your Personal Information:


Please ensure this is correct

Date of Birth:
Gender:



Your Education History:

Are you currently working in this field within the Muslim community?

Please provide a brief summary of your Islamic education to date:

Please provide a brief summary of your post-secondary education to date:

Please provide a brief summary of your work experience in this field:

Are you currently enrolled and attending classes on any of our Islamic Scholarship Programmes 2023-24? Please select which course you are currently on or select ‘No’ if you are not a current ASI student:

In case you have joined one of our Islamic Scholarship Programmes at Al-Salam Institute, what is the highest level that you have completed?

Have you attended any of our other programmes at Al-Salam Institute?
If you have attended more than one of our programmes, choose the option nearest to the top of the list.

How did you hear about this course:

We want to keep you updated with exciting news and upcoming courses and events. If you do not wish to receive updates from ASI please check the box below. You can unsubscribe at any time (see our privacy policy for more information).
I don’t want to hear about what’s happening at ASI even though I know I can opt-out at any time.
.
Please ensure that you have read our Terms of Service and Privacy Policy
I agree with all the Terms and Conditions set out by ASI

Once you click below, your application will be submitted
and we will send you a confirmation email.
Please check your junk/spam inbox to avoid missing any updates.