AFDA Scholarship ApplicationThe Verlyn L. Heath Memorial Scholarship is a grant provided by Arkansas Funeral Directors Association for students who plan to complete their education in an accredited mortuary science school and serve the public in their chosen profession in the state of Arkansas. Any person who is currently an apprentice, has satisfactorily completed the apprenticeship program for either funeral directors or embalmers, or a current student of an accredited mortuary science school who has completed one year of this program is eligible to apply for a scholarship. This scholarship is intended for use in partially defraying expenses incurred while in attendance at an accredited school of mortuary scienceName(Required) First Last Email Address(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number(Required)Education InformationHigh School Attended(Required)High School GPA(Required)Years Attended(Required)Current College(Required)Degree Name(Required)Course Start & End Dates(Required)Supporting InformationThrough which funeral home is your apprenticeship served?(Required)Who is the best person to contact at that home regarding this scholarship?(Required)Contact Email Address(Required) Tell us a little about why you are applying for this scholarship.(Required)Signature(Required)I CERTIFY that to the best of my knowledge, the information contained in this application is correct and complete. It is my intent to continue my mortuary college education and to enter the field of funeral service upon successful completion of professional education, examination and licensure. I authorize the AFDA Scholarship Committee to contact those persons and/or institutions listed herein and in the letters of recommendation. I confirm that I have read the Verlyn L. Heath Memorial Scholarship Fund guidelines as listed on the AFDA website. Checking this box is considered your digital signature.CAPTCHANumberEmail Consent I agree to the privacy policy.CommentsThis field is for validation purposes and should be left unchanged.