Power Lunch Application

  • Personal Information

  • Date Format: MM slash DD slash YYYY
  • Work Information

  • References

  • NamePhone 
  • Mentoring Information

  • Acceptance

  • Please read the following:

    • I understand the Program Policies and agree to adhere to them.
    • I agree to abide by all the policies of the Hudson City School District.
    • I will represent my community and Hudson Reads with professional demeanor.
    • I will inform Hudson Reads if there is a change in my schedule, employment, or contact information.
    • I give Hudson Reads permission to use my picture in a variety of media efforts.