Get Emb_pre_grad_app .doc - The State Of Connecticut Website

This guide provides clear and supportive instructions for users on how to complete the EMB_Pre_Grad_App .doc. By following these steps, you will be able to successfully fill out the application for registration as a pre-graduate trainee embalmer in Connecticut.

Follow the steps to complete your application form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your last name, first name, middle initial, and maiden name in the designated fields.
3. Provide your date of birth and social security number in the appropriate sections.
4. Indicate your gender and provide your daytime phone number as well as your email address.
5. Complete your address by entering your street, city, state, and zip code.
6. Identify the accredited mortuary science college you attended in the corresponding field.
7. List any other colleges you have attended along with the dates of attendance and degree obtained.
8. Arrange for supervision by licensed embalmers by providing their names and license numbers.
9. Specify the name of the firm or funeral home where you will complete your training, alongside its license number.
10. Enter the start date for your training period and the address where the training will take place.
11. Affix a recent photograph of yourself in the designated area on the form.
12. Complete the sworn statement section, including the signature of a notary public.
13. In the employer affidavit section, include the name of the applicant and the start date of employment.
14. Have the supervisor sign and provide their license number, along with the signature of a notary public.
15. Once all sections are completed, save changes, download, print, or share the form as needed.

Complete your application online today and take the first step towards your embalming career.