Application: Purpose Pays

Purpose Pays Program Participant Application

This application must be filled out in its entirety by the student only.

You must be enrolled in an EJS Project program.

You must be age 15-18 during the entire program.

Student Information

About You

Parent Information

Emergency Contact

In case of emergency, please notify:

I certify that I have answered all of the above questions, and all statements are true. I understand that any misrepresentations or omissions may cause my application to be rejected, or forfeit my right to be considered for employment with the Purpose Pays Program. I understand that selection preference will be given to ‘first time’ participants.

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