MVNU Spring Break

Application Form

All participants are asked to submit a profile photo along with their application, please upload one to the link that will appear when you submit this form. If the form does not redirect, click here to upload your profile photo.

PLEASE NOTE: This form does NOT save automatically. If you close out of your window, all content in the form will be lost. We recommend that you type your answers on a separate document then copy and paste them into this form. Please limit each response to 500 words.

First Name

Last Name

Date of Birth

YYYY

Phone Number

(###)

###

####

Street Address

City

State

Zip Code

Email Address

Race/Ethnicity

Please select all that apply

American Indian or Alaska Native

Asian or Indian or Philippines origin

Black or African American

White or Northern European

Native Hawaiian or Pacific Islander

Multi-racial or other

Middle-Eastern origin

Hispanic or Latino/Latina

Gender

College/University Graduation Year

Have you travelled internationally?

Country of Citizenship:

What is your passport status?

Please note- if you are not a US passport holder please inform the Compass staff immediately as you may need a visa to travel to Iceland and/or to return to the US.

Passport Expiration Date

YYYY

Parent/Guardian Name

For anyone under the age of 18. If you are over 18, leave blank or put NA

First Name

Last Name

Parent/Guardian Phone

For anyone under the age of 18. If you are over 18, leave blank or put NA

(###)

###

####

Parent/Guardian Email

For anyone under the age of 18. If you are over 18, leave blank or put NA

Tell us about yourself. What are your interests and hobbies? What is your major? What makes you YOU?

Why would you like to participate in a Compass Spring Break trip to Iceland?

How did you hear about Compass?

Choose one

If other, please specify: