Fillable Student Permission for Parental Access to Student Records (Marymount Manhattan College)

Fill Online, Printable, Fillable, Blank Student Permission for Parental Access to Student Records (Marymount Manhattan College) Form

Use Fill to complete blank online MARYMOUNT MANHATTAN COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Student Permission for Parental Access to Student Records (Marymount Manhattan College)

On average this form takes 7 minutes to complete

The Student Permission for Parental Access to Student Records (Marymount Manhattan College) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 26 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Marymount Manhattan College

BROWSE MARYMOUNT MANHATTAN COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Student Permission for Parental Access to Student Records
At the post-secondary level, according to the Family Educational Rights and Privacy Act of 1974 (FERPA) and college policy, no
inherent rights are given to parents to inspect your education records. Education records can be released to your parents with your
written consent, OR by submission of evidence you are declared as a dependent on their most recent Federal Income Tax return.
This form gives you the opportunity to give written consent to allow your parents access to your education records, without submitting
your parent’s tax forms.
By signing this form, you agree that College personnel may provide any information from your educational record, beyond that
considered directory information*, to your parents. A notation of this approval will be entered on the Student Information System. It
will remain on your record and allow us to release information to your parents, even when you are no longer listed as a dependent up on
your parent’s income tax return, or you have graduated or left the College, unless you revoke this permission.
*Unless you have restricted the College from releasing directory information, the College can provide information regarding name,
parents’ names, address, telephone numbers, date and place of birth, major field of study, participation in officially recognized activities,
dates of attendance, degrees and awards received, most recent previous schools or institutions, and photographs.
DIRECTIONS(for on-line computer form):
1.PLEASE fill in student information AND complete ONE of the sections (1, 2, or 3) below to
authorize privacy requirements
The student must complete this section.
The parent/legal guardian must complete this section.
2.WHEN COMPLETE, PRINT OUT THE FORM
3.PLEASE SIGN AND RETURN THE FORM ALONG WITH A COPY OF THE MOST RECENT FEDERAL
INCOME TAX FORM(if applicable) TO THE CENTER FOR STUDENT SERVICES
4.OR, MAIL IN THE FORM(s) TO: CENTER FOR STUDENT SERVICES, MARYMOUNT MANHATTAN
COLLEGE, 221 E. 71 ST. NEW YORK, NY 10021
student information
social security number
- -
last name
FIRST NAME
MI
STUDENT
PARENT
STUDENT
Print Form
Submit by Email
SECTION 1) permission to release information
I authorize Marymount Manhattan College to release information from my student records to the following individual(s):
RELATIONSHIP TO STUDENT
PARENT’S FULL NAME IF OTHER, PLEASE
SPECIFY
RELATIONSHIP TO STUDENT
PARENT’S FULL NAME IF OTHER, PLEASE
SPECIFY
student’s signature date
SECTION 2) request to restrict information (
I hereby request that Marymount Manhattan College refrain from releasing information beyond that considered directory information
contained in my student records to the following individual(s):
RELATIONSHIP TO STUDENT
PARENT’S FULL NAME IF OTHER, PLEASE
SPECIFY
RELATIONSHIP TO STUDENT
PARENT’S FULL NAME IF OTHER, PLEASE
SPECIFY
student’s signature date
SECTION 3) request to receive non-directory information of a dependent student
PARENT
I hereby request that Marymount Manhattan College release information beyond that considered directory information contained in my
dependent student's records. I have supplied the first two pages of my most recent Federal Income Tax Return* to validate the student's
legal dependency (*Only required if dependent student does not consent to disclosure ).
parent/guardian info
social security number
- -
last name
FIRST NAME
mi
Parent/Guardian Signature Date
STUDENT
STUDENT
Click To Choose From Drop Down List
Click to Choose From Drop Down List
Click to Choose From Drop Down List
Click to Choose From Drop Down List
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Student Permission for Parental Access to Student Records (Marymount Manhattan College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 23 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document