DR. TAREQ ALSUWAIDAN’S
LEADERSHIP TRAINING
APPLICATION FORM

Surname*
First Name*
DOB*
Gender* MaleFemale
Email Address*
Mobile number* (including area code)
Emergency contact name and mobile number* (including area code)
Country of residence
Current Employment and position
Previous employment and position
Are you involved in any Islamic projects? If yes, what is the organisation and the role in it.
What do you hope to achieve from the Leadership training
Do you have any specific requests or further information the organisers should be aware of? If yes, please comment.
Please prove you are human by selecting the key.