LRR Registration Form

Notice - To submit your registration application via mail with a cashier's check/money order, please download the LRR Application.

LRR Candidate Handbook

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LRR Exam Online Application

Step 1 of 4

Consent 1 of 6*
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.*
Consent 2 of 6*
I hereby apply for access to the exam, which I understand will be used by the relevant state board of funeral service as a measure of my competence and as one criterion for licensure eligibility.*
Consent 3 of 6*
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.*
Consent 4 of 6*
I understand proper verification is required by The Conference before I am given access to the exam and I am familiar with those requirements from my review of the Candidate Handbook.*
Consent 5 of 6*
I hereby authorize the release of my exam results to the licensing authority indicated.*
Consent 6 of 6*
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.*
Signature*
I agree to these terms and conditions.

Social Security Number*
Verify Social Security Number*
Please verify your SSN is correct.*
(If a change is needed after your application has been submitted, a delay in processing may occur.)
- I verify the above information is correct.
Email*
Please provide your personal email address
First Name*
Middle Name
Last Name*

Please Note: Your name (first & Last only) must match your forms of identification.

Mailing Address
Address*
City*
State / Province*
Zip*
Daytime Phone*

Select the LRR you will be taking*
Would you like to order an Arkansas LRR Study Guide?
$25, plus $8.75 shipping & handling
Shipping & Handling via USPS Priority Mail
Please Note: During payment portion, please verify your shipping address is correct.
Have You Previously Taken This State's LRR?*
Do you have a documented disability that requires an accommodation for you to take the LRR Examination?*
Prior to requesting accommodations, review the ADA Testing Accommodations Handbook to ensure you meet the requirements.
In the text block, please state the specific type of accommodation(s) you are requesting.
Please note: along with the exam application and payment, the completed Candidate Accommodations Request Form and Health Practitioner Statement must be received before requests can be reviewed.
ADA Accommodations Booklet
Candidate Accommodations Request Form
Health Practitioner Statement
Total
$0.00

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