2025 Arkansas State University-Mountain Home

1600 South College St.

Mountain Home, AR 72653

870.508.6100

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Equal Employment Opportunity

The State of Arkansas does not discriminate in access to employment opportunities or in employment or practices on the basis of race, color, religion, sex, national origin, age, disability, or genetic information. It is the policy of Arkansas State University to provide equal employment opportunity to all qualified persons; to prohibit discrimination against any employee or applicant for employment because of race, color, ancestry, religion, gender, age, disability, genetic information, national origin, status as a veteran or other status protected by law; and to promote the full realization of equal employment opportunity.

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Funeral Science Program Application

* First Name

* Middle Name

* Last Name

* Phone

* ASUMH Email

* Address

* City

* State

* Zip

Prerequisites

* 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).

Select File

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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