Trainee Monthly Report - South Dakota

Trainee Monthly Report

To the South Dakota Board of Funeral Service. To be in the hands of the Secretary of the board by the 10th of each month. Traineeship ceases as of 12th card received.

Name _______________________________________________ Trainee No._____________________

Address____________________________________________________________________________________________________________________

Street

City

State

Zip code

Report Card Mailed on_____________, 20________ for month of __________________________________________

CNumummbuelartoivfecansuemrbeeproorftshofiulersdwtoordkaetde_i_n__th__e__fu__n_e_r_a__l_e_s_t_a_b__li_shment as part of the training

pNrougmrabmer(mofinfiumnuemral2s,0a8ss0ishtresdreaqtutioreddabtee_f_o_r_e__p_r_o_g__r_a_m___c_e_a_s_e__s_) __________

NNuummbebreorfoffufnuenrearl aalrraargreamngeenmt reenptorrtespfoilretds tfoileddatteo _d_a_te_____________________________ NNuummmbbebererorofofcfhaohsuoerusrrewspoowrrktoserdfkiielneddthinteofadutnaheteerafl_ue_ns_tea_rb_al_ils_eh_sm_tea_nbtlishment_____________________

Number of funerals assisted to date __________ Employed by_______________________________________________________________________________________________________________

Funeral Home

City

Employed by __________________________________________________________________________________

Funeral Home

City

___________________________________________________________ ______________________________________________________________

Signature of Trainee

Signature of Sponsor

_________________________________________ ***Can be faxed to SthigenbaotuarredoaftT6r0a5in.7e2e2.1006

___________________________________________ Signature of Sponsor

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