New New MARS Student Registration

Darul Qasim College

550 Regency Dr, Glendale Heights, IL 60139

New MARS Student Registration

Minors (below 16 years of age) are not eligible to enroll in online programs at Darul Qasim as a standard policy.
Darul Qasim reserves the right to approve or reject an applicant's admission as a student

New Students Application Form

This application is only for individuals who are not currently a Darul Qasim College student and are registering for a class for the first time. Students who have taken a class at DQC should register through their MyQuest student portal.

Personal Information

First Name

Middle Name

Last Name

Gender

Birth Date

Cell Phone

Street

Country

City

State/Province

Zip/Postcode

Ethnicity

Race

Drivers License or ID

Emergency Contact - 1

Emergency Contact Name

Relationship

Cell Phone

Emergency Contact - 2*

Second Emergency Contact

Relationship

Cell Phone 2

Email Address 2

Program Details

How did you learn about Darul Qasim College?

What are your goals while at Darul Qasim?

DISCLOSURE AND WAIVER

Understand that:

The institution gives no warranties regarding admission.
I am applying as a student or on behalf of my child at this institution.
The institution holds the right to accept or deny applications.
The institution makes no representations or warranties regarding accreditation.
The institution makes no representations or warranties regarding future advancement.

I have read the Disclosure and Waiver and I acknowledge and accept the terms and conditions of submitting this application form and all the results thereafter by Darul Qasim and its staff