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Step Up, Reach Back Intern Application



An important part of the Leadership Intern program is service to others. Reaching back after you have been through the program and helping a new member of the program is encouraged. Consider the list of ideas below and mark at least two things you would be willing to do.

Statement of Commitment
By signing this form, I agree to the following:
  1. I will enroll in at least 6 credit hours per semester.
  2. I will maintain at least a 2.0 cumulative GPA.
  3. I will attend orientation, retreat, by-monthly meetings with my mentor(s), and any other required activities on the attached required activities list.
  4. I will participate in planning and executing a leadership event.
  5. I will provide feedback to the mentors.
I confirm that all information on my application is accurate and I give the Women’s Leadership Center permission to verify any information included in this application. My signature below represents an awareness of my commitment and responsibilities to my mentor(s) and the Leadership Intern program.

Funeral Science Program Application

Prerequisites
BIOL 1013 Introduction to Human Anatomy and Physiology for Non-Healthcare Majors
OR BOTH
OR
  BIOL 2004 Human Anatomy and Physiology I & Lab
OR
  BIOL 2014 Human Anatomy and Physiology II & Lab
OR
CIS 1053 Computer Essentials
OR
COMM 1203 Oral Communication
OR
ENG 1003 Composition I
OR
OR
ORT 1001 First Year Experience for Funeral Science
OR
Admission acceptance status made at application due date is contingent on final grades.
Important Disclosures about the Program and the Funeral Service Industry
I understand the program has a specific course rotation that I am required to follow each semester.
I understand that all Funeral Science Education curriculum course work must be completed with a grade of “C” or better.
I understand that I must maintain a 2.5 GPA and will only be allowed to retake courses from which I withdrew or failed in the first semester upon admission to the program.
I understand that I am responsible for any costs associated with the program including field trips and Training Camp.
I understand that it is my responsibility to know the licensing requirements for any state in which I intend to practice.
I understand that students who have previously been convicted of a crime may be restricted from certain clinical facilities and may be ineligible for some state licenses.
I understand that students who have a physical disability should contact the state in which he/she plans to seek licensure to determine if the disability will affect licensure.
I understand that a current driver’s license is required prior to enrolling in a clinical or practicum course.
I have read and understand the program dismissal policies contained within the Funeral Science Student Handbook.

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