Student consent to release education records to parents
The Family Education Rights and Privacy Act of 1974, as amended,
prohibits post secondary educational institutions from disclosing the education
records of students to most third parties without the student's written
consent. The only exception made for the parents of post secondary
students is if the student is a dependent as defined by the Internal Revenue
Service code. Accordingly, Dickinson College will release student
education records to parents only if:
This form is for the use of students who wish to voluntarily consent
to the release of their education records to their parents upon the request
of the parent. Please complete this form and send to the Registrar's
The student consents by filling out the following form or
The parent demonstrates the student's dependency by providing a copy of
one parent's federal income tax return for the current tax year
I CONSENT TO THE RELEASE OF MY EDUCATION RECORDS TO MY PARENTS AT THEIR
REQUEST. I UNDERSTAND THAT:
This consent will remain effective until I rescind it in writing
Any education record will be released to any parent on file, upon request,
by United States mail at the address that I have specified as an address
of my parent, or in person provided that the individual making the request
positively identifies him/herself as an individual identified by my records
as a parent, step-parent or guardian.
With respect to my parents this consent overrides any order I have filed
for the non-disclosure of directory information.
I am not required by law or college policy to give this consent.
This consent is voluntary.
Student ID#___________________________ Printed
Student Signature________________________________________________ Class Year
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