Expression of Interest Form

NASFAT Mediation Training Program

Expression of Interest (EOI) for NASFAT Mediation Training Program

Thank you for your interest in the NASFAT Mediation Training Program. This program is aimed at equipping participants with professional mediation skills rooted in Islamic values to foster peace and harmony in our society.

Please provide the following information to express your interest. Completion of this form does not guarantee selection; all applications will be subject to screening and eligibility criteria.

Form Deadline: January 22nd, 2025

Personal Information

First Name

Last Name

Date of Birth

Gender

Phone Number

Email Address

NASFAT Membership

Are you a NASFAT Member?

Enter Your NASFAT Membership Number

Location Details

State of Residence

Closest NASFAT Branch

Educational Background

Highest Level of Education Attained

Professional Qualifications (if any)

Islamic Knowledge

Have you undergone any Islamic training or study?

Briefly describe the training or study

Professional or Volunteer Experience

Do you have experience in conflict resolution, counseling, or community service?

Briefly describe your experience and your role.

Purpose and Motivation

Why are you interested in becoming a mediator?

How do you intend to use this training to serve the Muslim Ummah and your community?

Program Alignment

How do you think this training aligns with Islamic values and principles?

Availability

Will you be available to attend the one-week training in April 2025?

Payment Information

Are you willing to pay the ₦350,000 participant fee?

If No, explain why you need NASFAT sponsorship

Reference

Please provide information about your reference

Additional Information

I confirm that all the information provided is accurate to the best of my knowledge and understand that my application is subject to screening and selection criteria."

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