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
social security number