The Fairfax Institute
Please read the following questions and respond by entering or clicking on your preferences.
*
1. Have you ever heard of the Fairfax Institute?
Yes
No
*
2. Are you willing to travel to Herndon to take classes?
Yes
No
3. What are you interested in learning about? (check all that apply then proceed to Q. 4)
Language (also answer A)
Islamic Studies (also answer B)
Teacher Professional Development (also answer C)
Community Development (also answer D)
A.
What language (s) are you most interested in learning?
Arabic (modern spoken)
Arabic (classical/quranic)
English (English as a second language)
Urdu (modern spoken)
B.
What areas of study in Islam most interest you?
Seerah / Islamic History
Tafsir (Explanation of the Qur'an)
Shariah (Islamic Jurisprudence)
Introductory Islam (What every Muslim should know)
C.
If you're a teacher, which development courses are you interested in learning about?
Classroom Management
Understanding & Implementing Curriculum
Teaching Methodology
Evaluation
D.
Which community development courses are you interested in learning about?
Non-profit Management
Faith-based Entrepreneurship
Leadership
Strategic Planning
4. Are there any subject(s) not listed that you would like us to offer? If so, which one(s)?
*
5. What days fit your schedule for classes?
Weekday mornings/afternoons
Weekday evenings
Weekend mornings/afternoons
Weekend evenings
I'm not interested in taking classes (N/A)
6. What timings best suit you?
8am-10am
10am-12pm
1pm-3pm
6pm-8pm
8pm-10pm
Other?
7. What length of classes do you prefer?
Semester-long courses
Intensive 2-3 week courses
Other?
8. What frequency of semester long weekly classes do you prefer?
Two 3 hour classes
Three 2 hour classes
Other?
*
9. Would you be interested in a multiple course certificate program?
Yes
No
Maybe
10. How much do you think a single course such as these should cost? (answer without "$" and "." signs. Ex. $200.00 would be 200)
*
11. Are you a male or a female?
Male
Female
*
12. What age group do you fall under?
under 18
18 - 24
25 - 34
35 - 44
45 - 65
over 65
If you or someone you know is interested in acquiring more information, please provide your or their e-mail address(es):
*
Indicates Response Required
This form created at
http://www.formsite.com/