Do you want to know more about our Active Madrassah Male Leadership Academy?

Name(Required)

First Last

Email(Required)

Telephone number

Mosque or Madrassah Name

Which town is your Mosque or Madrassah located

Your role/position

Imam

Madrassah Principal / Headteacher

Madrassah Teacher / Volunteer

Trustee / Committee Member

Young Emerging Leader

The training will take place over 2 days

Saturday 9th May and Saturday 25th April (10:00am – 6:00pm each day). Are you able to commit to attending both days?

Yes, I can attend both days

No, I cannot commit to both days

Do you have any dietary requirements?

Do you have any accessibility or support needs we should be aware of?

Why would you like to take part in this training and what are you hoping to gain from it?

Please write your answer in no more than 350 words