(This section only has to be completed once – you do not need to complete the below information for additional dual enrollment courses)
In compliance with the federal Family Educational Rights and Privacy Act of 1974 (FERPA), the college is prohibited from providing certain information from your student records to a third party, such as information on grades, billing, tuition, and fee assessments, financial aid, and other student record information. This restriction applies, but is not limited, to your parents, your spouse, or a sponsor.
FERPA does permit the college to disclose information from your student records to your parent(s) or legal guardian(s) if they claim you as a dependent for federal tax purposes, and Chapter 495, 2008 Virginia Acts of Assembly, requires disclosure to those who claim you as a dependent. A parent or legal guardian must present current tax information supporting this claim, along with a photo ID to the college's Admissions & Records Dept., in order to obtain student records information.
You may, at your discretion, grant the college permission to release information about your student records to a third party by submitting this completed form. The specified information will be made available only if requested by the authorized third party. Submit this completed form with original signatures. Please note that your authorization to release information does not have an expiration date, however, you may revoke your authorization at any time by sending a written request to the DCC Admissions Office. Note: For any third party designee(s) you name on this form, this release overrides all FERPA directory suppression information that you have set up in your student record.
Parent/Legal Guardian or Third Party Designee(s) Information: Any party listed below that can provide the required Personal Identification Number (PIN) may be granted access to my student records information. PINs should consist of 3 letters and 2 numbers and be listed below (we suggest initials and last 2 digits of birth year).