The Academy

Register

Please fill out the registration form below and click submit. Upon receiving this completed form and the required course tuition fee, your registration will be complete. You will be mailed an informative pre-training packet of course information within 10 days of completing your official registration.  Thank you!

Now you can use your Homesteaders Life Company Partner Points towards Academy tuition. See Program Discounts for details.

Select course

  
Name  
Business  
Mailing Address  
Address Line 2  
City  
State  
Zip Code   -
Business Phone  
Cell Phone  
Email address  
Do you have your Life Insurance license?  
Do you have previous funeral experience?  
If yes, please describe:  
Upon returning from training, I will be utilizing the following lead sources:   Direct Mail

  Funeral Home Files

  Community Presentations/Expos

  Family Service Follow-up

  Walk In /Call In /Medicaid

  Other
If Other, please describe  
How do you fund advance funeral plans?  
If  Homesteaders, please indicate which product:   Assurance IAssurance IIAssurance IVOther/Not Applicable/Don't Know
Will you be driving or flying?  
Ground transportation needed?  
Additional charge applies if selected. Please see course description for details.

Hotel Accommodations needed?

  
Hotel accommodation cost covered ONLY for classes held at The Academy facility in Franklin, OH. All other locations are NOT included.

Smoking or non-smoking?

  

NFDA discount code

  




Prefer to submit your registration by US Mail? Click here to download the registration form as a PDF file.