and complete the full application

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MAS Youth
Lighthouse Academy 2010-2011
The Muslim American Society (MAS) of Tampa is pleased to open registration for the Lighthouse
Academy. Our goal is to develop—through a comprehensive program—Muslim youth who are proud
of being Muslim; who know their potential, and know their history and their role for shaping the
future; who will be equipped with the necessary knowledge and skills to reach their own God-given
potential; and who will act as agents of change to serve humanity and be exemplary faithful citizens.
As we start our second year we will be accepting boys in grades 6-9, and girls in grades 6-8. The
Academy will run for 5 hours every Saturday. The first semester will commence on September 25th,
2010, and will continue through December 18th, 2010.
The program aims to facilitate comprehensive growth of our youth. It will include:
1- Arabic: This year, heightened emphasis will be placed on developing ability to read the Quran, as
well as understanding the Arabic language as it relates to Quran. We will use the “Annuraniyya
Method” for teaching reading skills, supplemented by Arabic worksheets—all of which will
accommodate various skill levels.
2- Quran: Focus will be centered on understanding of major themes, with light memorization. We will
go through preselected verses of Quran (rather than going in sequential order). The goal is to provide a
constant and direct link to the Quran throughout the entirety of the program.
3- Islamic Studies: Will be taught through Quran (i.e. by expounding upon the themes/messages of
certain passages).
4- Sports: A variety of sports depending on the majority preference (primarily basketball and soccer
for boys; basketball and volleyball for girls).
5- Skills: Targeted activities to help our youth develop teamwork concepts, leadership qualities and
skills. Service and Citizenship activities will be implemented as well.
Arabic and Islamic Studies will be taught by qualified and knowledgeable teachers who have
experience in teaching their respective subjects, and who are able to engage the youth and pass on the
knowledge effectively.
For the youth it is not only educational to be enrolled in the MAS Youth Lighthouse Academy, it is
also FUN. A comprehensive program is not an easy task, but Alhamdulillah it is now a reality. The
academy for the 2010-2011 year is now open for registration, but is limited to the first 60 youth. From
our experience with the Quran Summer Camp that number can be reached easily, so make sure to get
your son or daughter a spot today. For questions and registration please feel free to contact Yasir
Abunamous at (813) 369-3920.
MAS Youth Lighthouse Academy Team
MAS Youth
Lighthouse Academy Application
Application:
An application by the parents and the youth will be required. Once application documents are
complete, and payment has been remitted, the application will be reviewed by the admissions
committee. An interview will be conducted as a part of the application process. Once a student is
accepted, a full semester’s payment will be needed. Enrollment is not final until full payment is
received.
Fee:
Application Fee: $30 non-refundable application fee. Fee will be refunded only if the admissions
committee declines the application.
Books and materials: $50 for the Islamic studies and Arabic materials.
Early registration fee is $250 per semester. After September 4th it is $280. Fee does not include outside
activities or above materials/application fees.
Interview:
The interview is an essential part of the enrollment process. Both parents and the youth will be
interviewed separately. Parents will need to fill out a questionnaire to give us a better idea about the
strengths and learning abilities of their child. Parents are encouraged to convince their child to come
and learn. We will not accept a child if he or she does not want to come to our program.
Semesters:
Fall Semester: September 25th – Dec 18th
Spring Semester: Jan 8th – May 14th
The academy will be off for Eid, Thanksgiving, Winter and Spring breaks, Youth camp weekend,
MYathlon day, and during MAS Tampa’s Annual Conference.
Place and Time:
Educational meetings will be at Islamic Community of Tampa Bay (ICT Masjid), weekly on Saturdays
from 10:30am-3:30pm.
Parents’ Participation:
 Parents are responsible for transportation for the sports league and the outdoor activities.
Parents are free to arrange car pooling. Pick up will be from the Temple Terrace Recreation
Center.
 Parents will be asked to volunteer during lunch time according to the volunteer schedule.
MAS Youth
Lighthouse Academy Application
APPLICANT’S NAME
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Last
First
Middle
Prefers to be called by
HOME ADDRESS
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City
State
Zip
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Telephone Number
Email Address
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Date of Birth
Place of Birth
FATHER’S Full Name _____________________________ Home Telephone (____) ____________
Home address (if different from applicant’s)
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Occupation/Title ____________________________________________________________________
Business Telephone (____) ________________________ (Cell Phone)_________________________
MOTHER’S Full Name______________________________________________________________
Home Telephone (____) _______________________ (Cell Phone)____________________________
BROTHERS AND SISTERS
Name___________________________________ Birth date__________________________________
Name___________________________________ Birth date__________________________________
Name___________________________________ Birth date__________________________________
Name___________________________________ Birth date__________________________________
Name___________________________________ Birth date__________________________________
PARENT SIGNATURES:
I/We agree to support and abide by MAS Youth Lighthouse Academy rules and regulations—not only
at the time of admission but also throughout subsequent years of attendance. I/We will not seek access
to confidential recommendations and evaluation materials before or after the admissions decision is
made.
___________________________________________________________ ______________________
Signature of Parent/Guardian
Date
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Signature of Parent/Guardian
Date
PARENT STATEMENT:
Please tell us anything that might help the Admissions Committee better understand your son.
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Signature of Parent/Guardian
Date
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Signature of Parent/Guardian
Date
Parents’ Release of Liability:
Parents/Guardians: Please read carefully and sign below:
I acknowledge that my son is physically fit to participate in the sports activities and to the best of my
knowledge is free from any medical condition(s) that might put him at risk.
I hereby agree to waive any right or claim I may have for damages arising out of any injury that my
son or legal child, as mentioned above, may sustain or claim to have sustained against the MAS Youth
Program, organizers and sponsors, as well as its agents, employees or representatives for any and all
injury, damage or loss sustained by the participation arising either directly or indirectly in the Program.
I UNDERSTAND THAT THE ACTIVITY IN WHICH MY SON OR LEGAL CHILD IS
ENGAGING, MAY INVOLVE A RISK OF INJURY AND I KNOWINGLY AND VOLUNTARILY
ASSUME SUCH RISK.
In the event of the need for any emergency medical care, treatment or hospitalization, I hereby
authorize The Program sponsor, its agents or its representative to obtain for me or my under the care or
control, such emergency care as is necessary or deemed advisable and I agree to be fully responsible
for any expense or other cost incurred and I shall indemnify The Program sponsor, its agents or
representative from any liability therefore. I am aware that they do not have insurance to cover such a
risk.
By signing below, I hereby state and affirm that I have read the above and forgoing release and
indemnification, that I understand all of its terms and expressly agree to be bound by the same and that
my signature evidences my free and voluntary act of each and every condition as contained herein.
I have read and understood the attached rules and regulations of this activity and I am willing to
comply by them.
Signature of Parent/Guardian: ________________________________ Date: _______________
Signature of Parent/Guardian: ________________________________ Date: _______________
MAS Youth Lighthouse Academy
Student Application
I. EXTRACURRICULAR AND COMMUNITY INTERESTS AND ACTIVITIES
A. What are your favorite sports and why?
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B. What are your hobbies?
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C. Please indicate your interest in fine arts:
Art (drawing, painting, sculpture, etc.)
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Music (instruments, choir, etc.)
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Drama (plays, etc.)
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D. Other areas of interest
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II. PERSONAL INFORMATION
A. How do you usually spend your summers?
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Camp
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Summer School
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Travel
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Other
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B. How do you spend your free time on weekends?
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C. Who is the most influential person in your life and why?
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D. Why would you like to attend the MAS Youth Lighthouse Academy?
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E. Do you have computer design ability? Can you build your own website? Can you make a flyer?
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F. Is there anything else you would like to tell us about yourself?
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