SBE/LRR Candidate Eligibility – The International Conference of Funeral Service Examining Boards

VERIFICATION OF ELIGIBILITY

Submit this VERIFICATION OF ELIGIBILITY to the Conference for candidates who have completed ALL requirements to take the SBE, LRR, or other state contracted exams.

State Verification of Eligibility

Submit this VERIFICATION OF GRADUATION to the Conference for candidates who have completed ALL requirements for taking the National Board Exam.

Step 1 of 3

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Consent 1 of 6(Required)

I attest that I am the individual who has completed this application and attest to the accuracy of the information submitted. By submitting my exam application, I acknowledge, understand, and accept the terms associated with The Conference and access to the exam program.(Required)

Consent 2 of 6(Required)

I hereby apply for access to the North Carolina Pathology Exam (NC-Path), which I understand will be used by the North Carolina Board of Funeral Service as a measure of my competence and as one criterion for licensure eligibility.(Required)

Consent 3 of 6(Required)

I hereby acknowledge having read the Candidate Handbook for the exam policies and procedures and I agree to abide by the rules of The Conference and its exam program including all policies and procedures at the test center.(Required)

Consent 4 of 6(Required)

I understand proper verification is required by The Conference before I am given access to the North Carolina Pathology Exam (NC-Path) and I am familiar with those requirements from my review of the Candidate Handbook.(Required)

Consent 5 of 6(Required)

I hereby authorize the release of my exam results to the North Carolina Board of Funeral Service.(Required)

Consent 6 of 6(Required)

I understand that exam content cannot be discussed or shared with anyone, in any format (written, verbal, electronic which includes social media, etc.), in whole or in part.

This prohibition of access to and disclosure of exam content includes before, during, and after the exam.

Violation of the exam security policies will likely result in an invalidation of my results and may limit my access to future exams, relevant boards may be notified, my professional license can be sanctioned or revoked, and The Conference may pursue any other remedy determined necessary to protect the integrity of the exam and the licensure process.(Required)

Signature(Required)

I agree to these terms and conditions.

Social Security Number(Required)

Verify Social Security Number(Required)

Email(Required)

First Name(Required)

Middle Name

Last Name(Required)

Please Note: Your name must match your forms of identification.

Address(Required)

City(Required)

State / Province(Required)

Zip / Postal Code(Required)

Daytime Phone(Required)

Have You Previously Taken The NC Pathology Exam?(Required)

Do you have a disability that requires an accommodation for you to take the examination?(Required)

In the text block, please state the nature of the disability and the type of accommodation requested.

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