Name
Phone Number
Email Address
Do you have a CLEAN driving record? YesNo
Can you lift 100 pounds? YesNo
Do you have any relevant experience in the funeral/mortuary service? YesNo
Are you available/willing to work night shift? YesNo
Have you ever been convicted of a felony? YesNo
Are you a licensed funeral director? YesNo
Are you a licensed embalmer? YesNo
Are you in school? YesNo
Please upload your resume and add any additional comments you’d like to submit