* Upload transcripts from all previously attended colleges/universities showing final grades and CGPA and/or a copy of course schedule showing enrollment in required class(es) with name of instructor and email address.

Select File(s)

BIOL 1013 Introduction to Human Anatomy and Physiology for Non-Healthcare Majors OR BOTH		Final Grade OR Mid-Term Grade
	BIOL 2004 Human Anatomy and Physiology I & Lab	Final Grade OR Mid-Term Grade
	BIOL 2014 Human Anatomy and Physiology II & Lab	Final Grade OR Mid-Term Grade
CIS 1053 Computer Essentials		Final Grade OR Mid-Term Grade
COMM 1203 Oral Communication		Final Grade OR Mid-Term Grade
ENG 1003 Composition I		Final Grade OR Mid-Term Grade
MATH 1113 Applied Math or higher-level math (provide course name/number in space below)		Final Grade OR Mid-Term Grade
ORT 1001 First Year Experience for Funeral Science		Final Grade OR Mid-Term Grade

Admission acceptance status made at application due date is contingent on final grades.

* Upload documentation of 20 hours of volunteer/job shadowing in the funeral service industry.

Select File

Upload Affiliation Agreement (recommended but not required).

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List any additional certifications or experiences that you feel will benefit you in the funeral service industry.

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.	* Initials * Date
I understand that all Funeral Science Education curriculum course work must be completed with a grade of “C” or better.	* Initials * Date
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.	* Initials * Date
I understand that I am responsible for any costs associated with the program, including field trips and any required visits to the Mountain Home campus.	* Initials * Date
I understand that it is my responsibility to know the licensing requirements for any state in which I intend to practice.	* Initials * Date
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.	* Initials * Date
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.	* Initials * Date
I understand that a current driver’s license is required prior to enrolling in a clinical or practicum course.	* Initials * Date
I have read and understand the program dismissal policies contained within the Funeral Science Student Handbook.	* Initials * Date

I have read the Funeral Science Student Handbook, specifically the academic expectations, dress and hygiene codes and other student requirements, with which I will comply. I further understand that there may be costs involved for these requirements.

I understand that misrepresenting and/or falsifying any information submitted within this application will result in my immediate termination for consideration within the Funeral Science program.

* Signature

* Date

Join the ASUMH Alumni Association

Join ASUMH Alumni Association to stay connected with friends, keep up on new opportunities on campus, and receive discounts to local businesses.

* Email

* Phone

* First Name

* Last Name

* Maiden Name (if applicable)

* Mailing Address

* City

* State

* Zip

* Graduation Year

* What was your area of study?

* What degree or certification did you obtain?

* Current Employer

* What type of membership are you requesting?

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