Please fill out the following form to complete your application.
Name *
Name
Address *
Address
Phone *
Phone
Fax
Fax
Tell Us About Yourself
Please check all that apply.
I am a... *
I work at a... *
Check all that apply:
Tell us about the program you'd like to attend.
NOTE that the Commit Scholarship can only be used for cremation-related continuing education seminar, symposium, convention or training program and NOT for tuition to mortuary school.
You can copy and paste program information here, and include a link to the program you want to take.