Purpose Expedition Participant

Application Form

Answer each question thoroughly in clear, concise, and complete sentences that exhibit genuine consideration and self-reflection.

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 you are redirected to a Box upload link, then your form has been submitted successfully. After you have submitted your application, we will be in touch about scheduling a Zoom interview.

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

Preferred Pronouns

High School 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

Social Worker Name

First Name

Last Name

Social Worker Email

Social Worker Office

Example: DCF Greater Lowell Area Office

Social Worker Phone Number

(###)

###

####

What challenges or experiences have shaped your sense of purpose or your goals for the future?

Please limit response to 500 words.

How do you hope participating in the Purpose Expedition will impact your life and help you contribute to your community?

Please limit response to 500 words.

In your own words, please describe what you believe the Purpose Expedition program offers and how you are prepared to fully engage with its opportunities and challenges.

Please limit response to 500 words.