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'''Our submission form is currently off-line until further notice. We apologize for the inconvenience!''' | |||
title=Submit Your Testimony of Leaving Islam | title=Submit Your Testimony of Leaving Islam | ||
namePattern={{{apostatename}}} - Former Muslim | namePattern={{{apostatename}}} - Former Muslim | ||
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bornmuslimorconvert|Were you born into Islam or a convert to Islam?|radio|Born or convert|items=Born into Islam;Convert to Islam | bornmuslimorconvert|Were you born into Islam or a convert to Islam?|radio|Born or convert|items=Born into Islam;Convert to Islam | ||
leftislamatage|Left Islam at age|text|Left Islam at age|size=5 | leftislamatage|Left Islam at age|text|Left Islam at age|size=5 | ||
currentworldview|Current worldview (see note #9 above if your choice is not listed)|select|Current worldview|items=-- Select --;Agnosticism;Atheism;Buddhism;Christianity;Christianity (Catholic);Christianity (Protestant);Christianity (Orthodox);Confucianism;Deism;Hinduism;Humanism;Humanism (Agnostic);Humanism (Atheist);Jainism;Judaism;Shinto;Sikhism;Taoism;Theism;Zoroastrianism;Withheld | currentworldview|Current worldview (see note #9 above if your choice is not listed)|select|Current worldview|items=-- Select --;Agnosticism;Atheism;Buddhism;Christianity;Christianity (Catholic);Christianity (Protestant);Christianity (Orthodox);Confucianism;Deism;Hinduism;Humanism;Humanism (Agnostic);Humanism (Atheist);Jainism;Judaism;Shinto;Sikhism;Taoism;Theism;Zoroastrianism;Withheld | ||
parentsworldview|Parents' worldview|select|Parents' worldview|items=-- Select --;Agnosticism;Atheism;Christianity;Christianity (Catholic);Christianity (Protestant);Christianity (Orthodox);Confucianism;Deism;Hinduism;Humanism;Humanism (Agnostic);Humanism (Atheist);Islam;Jainism;Judaism;Shinto;Sikhism;Taoism;Theism;Zoroastrianism | parentsworldview|Parents' worldview|select|Parents' worldview|items=-- Select --;Agnosticism;Atheism;Buddhism;Christianity;Christianity (Catholic);Christianity (Protestant);Christianity (Orthodox);Confucianism;Deism;Hinduism;Humanism;Humanism (Agnostic);Humanism (Atheist);Islam;Jainism;Judaism;Shinto;Sikhism;Taoism;Theism;Zoroastrianism | ||
influences|Influences|text|Influences|size=60 | influences|Influences|text|Influences|size=60 | ||
otherinterests|Interests/Hobbies|text|Interests/Hobbies|size=60 | otherinterests|Interests/Hobbies|text|Interests/Hobbies|size=60 | ||
websiteurl|Website/blog URL|text|Website/blog URL|size=40 | websiteurl|Website/blog URL|text|Website/blog URL|size=40 | ||
testimony|Testimony of Leaving Islam|textarea|Explain why you left Islam. Please give as much detail as possible and make sure you have read the guidelines above:|rows=18,cols=10 | testimony|Testimony of Leaving Islam|textarea|Explain why you left Islam. Please give as much detail as possible and make sure you have read the guidelines above. This field cannot be empty.:|rows=18,cols=10 | ||