Electronic Blue Card

Welcome to the Hudson High School of Learning Technologies Family!

As we prepare for a different, yet amazing school year, we are asking ALL FAMILIES to please fill out this mandatory survey in order to communicate essential information to Hudson High School of Learning Technologies for the upcoming year (2020-2021) As a reminder, you will need the following information:

• Student Biographical Data:
Name, Home Address, Email, Home Phone, Cell Phone, Student ID/OSIS number (Public school students can get this from their guidance counselor. Private school students, use 888888888), Date of Birth, Gender, and Ethnicity.

• Parent/Guardian Biographical Data:
Name, Home Address, Email, Home Phone, Cell Phone, Work Phone, Preferred Language of Communication, Names of Siblings, and Schools Siblings Attend.

• Emergency Contact Information (Blue Card Information):
In the event of an emergency where we cannot reach the parent/guardian of record, choose three people who can get to Hudson High School of Learning Technologies to pick up a sick/injured student. All contact information is required for each of the people selected.

• Student Medical Information:
Primary physician contact information, known allergies, 504/IEP information for students with special needs, etc.

• Alumni Status:
Is any member of the immediate family a Hudson High School of Learning Technologies alum?
Once you begin the survey, you cannot save the information and continue at a later time. It should take approximately 10-15 minutes to complete the process.

Please do not hesitate to call William Hart (Parent Coordinator/ Dean of Student) at 646-915-5288 if you require assistance of any kind.

Thank you!
Email address *
What is your scholar's graduating year? *
*
Student: Last Name *
Student: Middle Initial *
Student: First Name *
Street Address 1 *
Street Address 2
City *
State *
Zip Code *
Phone number
Student's Email *
Student's Phone Number (Cell)
Student OSIS/ ID Number *
Student Date of Birth *
MM
/
DD
/
YYYY
Student's Gender *
Student Currently Attends The Following *
Name of current school student attends
Give number and name (If applicable)
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