Application for Admission Funeral Service 4825 Mount Royal Gate SW, Calgary AB T3E 6K6 T: 403.440.6867 W: conted.mtroyal.ca/funeral How to Apply 1. Submit the following with application: a) Official High School Transcript All applicants are required to submit an official high school transcript. A high school diploma or equivalent is a prerequisite. Applicants 21 years of age or older who do not have a high school diploma are considered on an individual basis. Successful completion of Biology 30 and Chemistry 30 (or equivalents) or the Mount Royal Science Preparatory Tutorial is strongly recommended. b) Statement of Career Investigation Complete the enclosed form, detailing: Why you are interested in a career in funeral service Why you feel you are well suited for funeral service To what extent you have researched the funeral service profession (cite sources) What experience you have had in funeral service c) Professional References Have two professional references complete the enclosed forms d) Funeral-Related Experience Complete the Mount Royal Introduction to Funeral Service course or submit 14-20 hours of documented work or volunteer experience within a funeral home. 2. Include a non-refundable $100 application fee. Provide credit card number or make cheque payable to Mount Royal University. Do not send cash through the mail. 3. Submit the application package in one of the following ways: In Person: Mount Royal University, Lincoln Park Campus Continuing Education and Extension Registration Services 4825 Mount Royal Gate SW; Kerby Hall (East Gate) Room A101, Wickets 9 & 10 Call 403.440.3833 or toll free 1.877.287.8001 for current hours Mail: Mount Royal University Continuing Education Registration Services 4825 Mount Royal Gate SW, Calgary, AB, T3E 6K6 Fax: Continuing Education and Extension Registration Services 403. 440.6743 When to Apply Fall Semester Funeral Service Diploma Funeral Director Certificate Embalmer Certificate (Early Admission December 1 – April 30) Winter Semester Funeral Service Diploma Funeral Director Certificate (Early Admission September 1 – November 30) Enrolment is limited. It is to your advantage to apply during the early admission period. Applicants who apply for early admission will be considered within 4-6 weeks of their date of application. Applications may be accepted after the early admission period, pending space availability. Visit the website for updates. Practicum and Work Experience Requirements Embalming Practicum and Work Experience Requirements Completion and receipt required prior to starting in practicum and work experience: Valid Red Cross - Standard First Aid and Basic Rescuer CPR level ‘C’ Certification Tuberculin (TB) Skin Test WHMIS - Workplace Hazardous Materials Information System Current Vaccinations for: Hepatitis B Diphtheria/Tetanus Booster Students must obtain at least two of the three series of the Hepatitis B vaccination and test negative on the 2-step Tuberculin (TB) Skin Test. TB Skin Test Results and WHMIS training must have been completed within 12 months of commencing in the embalming practice. WHMIS training can be completed at Mount Royal University; information regarding this training will be available on the Funeral Student Resource Site. Funeral Directing Practicum and Funeral Director Work Experience Requirements Completion and receipt required prior to starting in practice and work experience: Valid driver’s licence A police record check and driver abstract may be required for employment purposes and securing a Funeral Directing Practicum site. Although a criminal record may not affect graduation from the program, it may affect your ability to obtain a funeral director or embalmer licence. Licensing These programs have been approved by the Alberta Funeral Services Regulatory Board for licensing purposes in the Province of Alberta. Each province has its own licensing regulations governing the funeral service profession. Applicants must contact the licensing agency for the province in which they intend to work to ensure that completion of this program will meet the necessary licensing requirements. For More Information conted.mtroyal.ca/funeral Website: Telephone: 403.440.6867 Toll-free: 1.888.240.7203 E-mail: [email protected] 3/17/14 Application Form Funeral Service Programs 4825 Mount Royal Gate SW, Calgary AB T3E 6K6 T: 403.440.6867 W: conted.mtroyal.ca/funeral PLEASE PRINT CLEARLY AND ANSWER ALL QUESTIONS COMPLETELY Have you previously applied to or have you ever attended Mount Royal University? Yes No If Yes, your Student ID number: In which program do you wish to enrol: FALL Funeral Service Diploma Embalmer Certificate Funeral Director Certificate WINTER Funeral Director Certificate Funeral Service Diploma Personal Information Last Name (family name) First Name (legal) Middle Name (legal) Previous Name (if applicable) Gender Male Birth date dd mm yy Female Mailing Address (Street/PO Box #) City/Town Province/Country Postal Code Telephone - Home Telephone - Business Fax (if available) ( ( ( ) Citizenship Status Canadian Citizen Landed Immigrant Student Visa Work Permit Other ) Expiry date of your Visa (if already issued) dd mm yy ) Country of Citizenship _________________________________________ First Language (mother tongue) _________________________________________ English Language Proficiency requirement may apply E-mail Emergency Contact Name Telephone ( Alberta Student Number (if available) - - ) Previous Education Most recent High School Attended / Credential Earned City/Province From mm Post-Secondary Institution Attended / Credential Earned City/Province To yy mm yy mm From mm yy To yy Other 3/17/14 Method of Payment ($100 application fee) Cash/Debit (in person only) Cheque (Mount Royal University) VISA MasterCard Card Number Expiry Date Cardholder's Name Cardholder's Signature Money Order Applicant Survey How did you hear about the program? Print (please specify):_____________________________________________________________________________________ Referral (please specify):__________________________________________________________________________________ Online (please specify):___________________________________________________________________________________ Other (please specify): ______________________________ ____ Why did you choose our program? ____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Declaration Have you included: Transcript Statement of Career Investigation Application Fee I certify that I have read all of the instructions and information accompanying this application form and that the information I have provided on the application form is true. Signature of Applicant _________________________________________________ Date ____________________________________________________ Freedom of Information and Protection of Privacy The information that you provide to Mount Royal University when you register for Continuing Education courses is collected under the authority of the Post-Secondary Learning Act and Freedom of Information and Protection of Privacy Act in the Province of Alberta, Section 33(c). This information will be used for academic administration, the administration of Mount Royal support services, scholarship and financial aid awards, marketing and recruitment activities. Your personal information is protected and can be reviewed upon request. The complete statement and further contact information is available at conted.mtroyal.ca/cefoip. 3/17/14 Statement of Career Investigation Funeral Service 4825 Mount Royal Gate SW, Calgary AB T3E 6K6 T: 403.440.6867 W: conted.mtroyal.ca/funeral Please discuss the following topics in the space available. NAME: DATE: Why are you interested in a career in funeral service? Why do you feel you are well suited for funeral service? To what extent have you researched the funeral service profession? (Please cite sources) What experience have you had in funeral service? Additional Comments (please attach an additional page if required): 3/17/14 Reference Form Funeral Service 4825 Mount Royal Gate SW, Calgary AB T3E 6K6 T: 403.440.6867 You may be contacted to provide clarification or additional information. NAME OF APPLICANT: REFEREE POSITION ADDRESS TELEPHONE Home Work E-MAIL SIGNATURE DATE 1. How long have you known the applicant? 2. In what capacity do you know the applicant? Academic capacity Employer Colleague Other (specify): _________________________________________ 3. How would you rate the applicant on the following criteria: Above Average A. Professional Conduct B. Communication/Interpersonal Skills C. Academic Ability D. Ability to deal with stress E. Ability to meet deadlines F. Dependability G. Problem solving H. Quality of work I. Initiative/Motivation Average Below Average Unable to Assess 4. What do you consider to be this applicant's strengths? 5. What areas does the applicant need to develop? 6. Would you recommend this applicant pursue a career in funeral service? Yes No Please explain. 7. Additional comments (please use the reverse side of this form): 3/17/14 Reference Form Funeral Service 4825 Mount Royal Gate SW, Calgary AB T3E 6K6 T: 403.440.6867 You may be contacted to provide clarification or additional information. NAME OF APPLICANT: REFEREE POSITION ADDRESS TELEPHONE Home Work E-MAIL SIGNATURE DATE 1. How long have you known the applicant? 2. In what capacity do you know the applicant? Academic Capacity Employer Colleague Other (specify): _________________________________________ 3. How would you rate the applicant on the following criteria: Above Average A. Professional Conduct B. Communication/Interpersonal Skills C. Academic Ability D. Ability to deal with stress E. Ability to meet deadlines F. Dependability G. Problem solving H. Quality of work I. Initiative/Motivation Average Below Average Unable to Assess 4. What do you consider to be this applicant's strengths? 5. What areas does the applicant need to develop? 6. Would you recommend this applicant pursue a career in funeral service? Yes No Please explain. 7. Additional comments (please use the reverse side of this form): 3/17/14
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