Michigan Mortuary Science Foundation - Scholarship Application

Contact Information

First Name Middle Initial Last Name
City State Zip
You MUST submit a valid email address. Your application confirmation will be sent to this email address. All application communication will be directed to this email address.


High School

Name of High School
City State Zip


Name of College
City State Zip
Grade Point Average
Expected Graduation ?
If you are attending or have attended more than one college, please provide the same information in the space below:

Military Service/School Activities

Please provide description below:

Civil/Church Activites

Please provide description below:

Funeral Home Work Experience

Name of Funeral Home
City State Zip


Submit a personal essay of 250-500 words addressing you decision to pursue a funeral service education. Please include significant experiences and special people that have had an impact on this decision.
While your submissions is limited to 500 words, the box below will let you add more. Submissions with OVER 500 words WILL BE DISQUALIFIED. Please use a word counter tool, such as Word Counter, to copy/paste your text and ensure that you stay under 500 words.

How did you hear about this scholarship?

Electronic Signature

Please type your full name, including middle initial, and date in the boxes below for confirmation.
Signature Date ?