Race to 50: ALIM SP 2024
This form is to be used by those who are referring others to the program.  Those referred will have to complete an official application available on our website at www.alimprogram.com.

We understand that you may not have all information on the individual you are referring; however, please fill out the form as best as you can.  We will follow-up with the potential student for more details and to complete the process.

Feel free to share this form with others as well.  Thank you!
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Email *
First Name (Potential Student's) *
If you are referring someone, please put their name here.  
Last Name (Potential Student's) *
If you are referring someone, please put their name here.
City *
State *
Email (Potential Student's)
If you are referring someone else, please put their email here.
Phone Number (Potential Student's) *
If you are referring someone else, please put their phone number here.
Reference? *
Please name the individual and/or organization that referred you to the ALIM program (how did you find out about the program) or list your name if you are referring a student.
Legacy Applicant *
Did your parent or sibling attend the ALIM Summer Program previously?
Why is this person a good candidate for the program? *
Detail your professional studies, community work, and/or Islamic studies that you have previously or are currently working on or mention why you are referring this person.
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