Hudson Valley Pathways Academy Application
Hudson Valley Pathways Academy is seeking incoming students who are interested in developing leadership, creativity, multiple literacy, global citizenship, and self-direction skill sets so that they are empowered and equipped to change the world. Students will join the Hudson Valley Pathways Academy Community, and larger PTECH network, to begin a college and career readiness pathway, earn a college degree at no cost to them, and be first in line for jobs in the Hudson Valley.
Student Information
Student Name *
Your answer
Date of Birth *
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Home School District *
Home School Building Name *
example: Highland Middle School
Your answer
Student's Cell Phone *
Your answer
Student's Email *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Do you have Internet Access? *
How did you hear about us? *
Your answer
Parent/Guardian(s) Name *
Your answer
Parent/Guardian(s) Highest Level of Education Completed *
Parent/Guardian(s) Home Phone *
Your answer
Parent/Guardian(s) Cell Phone *
Your answer
Parent/Guardian(s) Email *
Your answer
Name of Teacher Recommendation #1 *
Your answer
Teacher Recommendation #1 Email *
Your answer
Name of Teacher Recommendation #2 *
Your answer
Teacher Recommendation #2 Email *
Your answer
Referring Guidance Counselor *
Your answer
Guidance Counselor Phone Number *
Your answer
Guidance Counselor Email *
Your answer
Student's Current Grade *
Your answer
Support Services *
Required
Did your school refer you to us? *
PERMISSION TO ATTEND AND OBTAIN SCHOOL RECORDS *
I have discussed this opportunity with my child and my child’s guidance counselor. Upon acceptance, I grant permission for my child to enroll in the Hudson Valley Pathways Academy (Ulster County BOCES P-TECH). I also grant permission for the school district to forward copies of all my child’s records/IEP’s/504’s as part of the admissions process.
Check to Confirm
Student's Acknowledgement 
Parent/Guardian Acknowledgement 
Student's Signature *
Your answer
Parent/Guardian Signature *
Your answer
Date of Submission *
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Student Questionnaire
The following questions will give you a chance to tell the Admissions Committee about yourself. It is helpful to type your answers in a separate file and copy and paste into the fields.
What interests you the most about attending the Hudson Valley Pathways Academy? What do you hope to give and get by being a student here? *
Your answer
In what courses have you had the most satisfying academic experience? Where have you struggled? *
Your answer
Describe a favorite teacher (or adult), or a special project that you have completed in the last year or so. What makes that person or experience special to you? *
Your answer
What are your extracurricular interests? Describe your involvement in each activity that you identify. *
Your answer
What school activities are you involved in? Describe your involvement. *
Your answer
Are you creative? Explain. Can you become more creative and how? *
Your answer
Do you have any personal/family responsibilities we should know about? *
Your answer
How do you develop leadership qualities & skills? *
Your answer
Student Reflection
There are multiple literacies required for success in the 21st century. At one time, “literacy” was considered to be the ability to read and write, and perhaps do math.

According to Douglas Kellner, Ph.D. at UCLA “literacy involves gaining the skills and knowledge to read and interpret the text of the world and to successfully navigate its challenges, conflicts and crises. Literacy is a necessary condition to equip people to participate in the local, national and global economy, culture and polity.”
What are some steps you can take to develop this definition of Multiple Literacies in yourself? *
Your answer
What does it mean to you to be a global citizen? *
Your answer
How can you become more self-directed? *
Your answer
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