Hudson Technical Registration Form (WP)

STUDENT INFORMATION
First Name*
Last Name*
Middle Name
Address*
Example: 123 Main Street
Apt #
Example: Apt 1 or Floor 1 or Suite 1
City*
State*
Zip Code*
Date of Birth*

MonthDayYear
Date
Age
Parent/Guardian's Cell Phone*
Gender*
SS#*
SS# Required for State of NJ reporting
Best Reach Phone Number*
Phone Number Type*
Email Address*
Have you earned a High School diploma OR College Diploma?*
I hereby * grant permission to HCST to use photographs and/or video of me taken in publications, news releases, online, and in other communications related to the mission of HCST Hudson Technical.
STATE OF NEW JERSEY INFORMATION

Required by the State of New Jersey
Ethnicity*
Race*

American Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
Home Language*
Country of Birth*
State of Birth*
City of Birth*
Do you have a disability?*
An individual with any disability as defined in section 3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102)
Are you an English Learner?*
The term 'English Learner' means an adult or an out-of-school youth who has limited ability in speaking, reading, writing, or understanding the English language and whose native language is a language other than English or who lives in a family environment or community in which a language other than English is the dominant language.
Do you receive any state Services and Programs benefits?*
Individuals who require special services and assistance in order to enable them to succeed in vocational education programs.
Household Size*
Including yourself
Are you receiving a PELL grant?*
What is your current employment status?*
Are you a single parent?*
Including student who is a single parent or single pregnant woman.
Are you a stay at home parent?*
Are you currently homeless or at risk of homelessness?*
Whether the student who is a homeless individual described in section 725 of the McKinney-Vento Homeless Assistance Act (42 U.S.C. 11434a)
Are you living with a parent who is a member of the armed forces (as such term is defined in section 101(a)(4) of title 10, United States Code); and is on active duty (as such term is defined in section 101(d)(1) of such title)?*
Are you in, or have aged out of, the foster care system?*
What is the highest level of education you've completed?*
EMERGENCY CONTACT INFORMATION
Emergency Contact 1 - First Name*
Emergency Contact 1 - Last Name*
Emergency Contact 1 - Relationship*
Emergency Contact 1 - Best Reach Phone Number*
Emergency Contact 2 - First Name
Emergency Contact 2 - Last Name
Emergency Contact 2 - Relationship
Emergency Contact 2 - Best Reach Phone Number
MEDICAL INFORMATION
Are you currently under the care of a physician?*
Are you taking medication(s)?*
MANDATORY DOCUMENTS
Please upload your HS Diploma/Transcript or College Diploma/Transcript*

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Please upload your Drivers License or Photo ID with Home Address*

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Please upload a photo of your HCST ID*

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Please read below and sign to acknowledge you have read the policies.
Admission Requirements
- Must be 18 years of age or older (>18)
- Have a High School Diploma/Transcript or Equivalent – Required upon registration (Must be uploaded)
- Photo ID preferably a license or state issued ID – Required upon registration (Must be uploaded)
- Capable of performing the course work and meeting prerequisite requirements
- Meet the course financial obligation
Parental Consent Form
- HCST students 13-18 must have a signed parental consent.
- Outside youth UNDER 16 yrs must have a signed parental consent form and MUST be accompanied by an adult.
- Outside youth 16-18 yrs must have a signed parental consent form.
Registration
- Online registration starts in the month of July for the upcoming school year and is considered the best option to guarantee admission.
- Class sizes are limited. Registration is on a first come, first serve basis.
- Students will not be considered registered until an online application is received and tuition fee is processed.
- Students will receive notification by email upon enrollment.
- For In person registration please visit our website for dates https://hudson-technical.hcstonline.us/
Tuition Fees
- All courses are tuition-based. Each course has the required tuition fee listed in the catalog.
- Tuition must be paid online and in full at the time of registration via credit card or debit card.
- Out of County Residency a 20% increase will be added to your tuition fee.
Course Cancellation Policy
In the event a course is cancelled by the school, students will have the option of 1 or 2 below:
1. A full tuition refund
2. Transfer to another course (must commence within the same school year for which the student was initially registered).
Refund Policy
- Full refund will be granted for any course the school cancels.
- There will be no refunds after the second class session.
- Student must notify the Post Secondary Office via email at hudsontechnical@hcstonline.org to initiate any refunds or course transfers.
- Refunds will be issued back to the credit card or debit card used to make tuition payment.
- Please note there is a $25.00 administrative/refund fee for student requested refunds.
- Refunds will (NOT) be processed until all materials supplied by the school are retuned in the condition in which they were received. Note: Fee will be charged for non-returned or damaged materials.
Attendance Policy
- All students shall be in attendance a minimum of 80% of the time, no exceptions.
- Students are expected to be on time and attend class as scheduled.
- If you will be absent for an extended period of time due to unforeseen circumstances you must inform your instructor and notify the main office at hudsontechnical@hcstonline.org or call 201-662-6791.
Textbooks/Exams/Testing Fees
- Some on-site courses include textbooks and exam fees (see course description for details)
- Students will be required to cover the cost of textbooks, testing fees, uniforms (if required) or any additional items needed that are not included in the tuition fee.
- Online Courses: Textbooks are included in the tuition fee and will be shipped to the mailing address
  documented on your registration form.
Student Code of Conduct – Board Policy 5131 Conduct/Discipline
Smoking is prohibited in all buildings, sites and campuses of the Hudson County Schools of Technology. The use of alcohol or drugs is strictly prohibited on school property. Students are expected to adhere to an adequate code of conduct at all times. Administrators reserve the right to take action regarding the same accordingly.

HCST-Post Secondary School maintains a "Zero-tolerance" policy on Harassment. Harassment is defined as a course of conduct which annoys, threatens, intimidates, alarms, or puts a person in fear of their safety, or inhibits the ability of a student to learn or an instructor to teach. Harassment is unwanted, unwelcomed and uninvited behavior that demeans threatens or offends the victim and results in a hostile environment for the victim. Harassing behavior may include, but is not limited to, epithets, derogatory comments or slurs and lewd propositions, assault, impeding or blocking movement, offensive touching or any physical interference with normal work or movement, and visual insults, such as derogatory posters or cartoons. Harassment may include online posts and commentary on the Web. Students, instructors and staff engaged in such conduct will be immediately dismissed and reported to the proper authorities.

Parking
On-campus parking is available in designated areas. Please be mindful to secure your car as the District is not responsible for theft or damage to the vehicle while on school property.

Awarding Certificates
To be eligible for a Certificate of Completion students must have paid their tuition in full, pass their course, and attend a minimum of 80% of all school class hours and meet the course requirements. Apprentice programs may require higher attendance rates. Licensing, credentials, and certifications will be received upon a passing score from the licensing, credentialing, and certification vendor.

Inclement Weather/School Closings
- Classes may be extended due to inclement weather. No refunds for inclement weather.
- During inclement weather or emergency situations, school closing announcements will be posted on the District website accordingly. Please visit HCSTonline.org
- HCST will not be held responsible for snow days. Cancelled classes will be rescheduled accordingly by instructor.
NONDISCRIMINATION NOTICE
“It is the policy of the Board of Education of the Hudson County Schools of Technology not to discriminate in employment or educational opportunity against any person by reason of race, color, national origin, ancestry, age, sex, affectional or sexual orientation, marital status, liability for service in the Armed Forces of the United States, or atypical hereditary cellular or blood trait of any individual, in employment or in educational opportunities. Further state and federal protection is extended on account of disabilities, social or economic status, pregnancy, childbirth, pregnancy-related disabilities, actual or potential parenthood, or family status.” Inquiries regarding affirmative action, discrimination (including Title IX requirements), sexual harassment or equity should be directed to: Alicia Abraham & Derrick Thompson - Affirmative Action Officer/504 Officer/Title IX Coordinator - Hudson County Schools of Technology One High Tech Way, Secaucus, NJ 07094 - 201.662.6724 - aabraham@hcstonline.org - dthompso@hcstonline.org
Student's Signature*

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I affirm with my signature I have read the policies above.
Today's Date*

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Registration Form

STUDENT INFORMATION

STATE OF NEW JERSEY INFORMATION

EMERGENCY CONTACT INFORMATION

MEDICAL INFORMATION

MANDATORY DOCUMENTS

Please read below and sign to acknowledge you have read the policies.

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