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:

  1. The student consents by filling out the following form or
  2. The parent demonstrates the student's dependency by providing a copy of one parent's federal income tax return for the current tax year
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 Office.
 

I CONSENT TO THE RELEASE OF MY EDUCATION RECORDS TO MY PARENTS AT THEIR REQUEST.  I UNDERSTAND THAT:

  1. This consent will remain effective until I rescind it in writing
  2. 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.
  3. With respect to my parents this consent overrides any order I have filed for the non-disclosure of directory information.
  4. I am not required by law or college policy to give this consent.  This consent is voluntary.


Student ID#___________________________    Printed Student Name__________________________________

Student Signature________________________________________________ Class Year ___________________

Date______________________________

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