|
Villanova University
Student Record
Parental Disclosure Form
Please print, complete, sign, and return by mail or fax to:
Office of the Registrar
Tolentine 202
800 Lancaster Avenue
Villanova, PA 19085
Fax: 610-519 - 4033
I ( DO / DO NOT ) consent to
full disclosure of my courses, credit hours, grades and financial
records, at any time, to my parent(s)/guardian(s):
________________________________
and ________________________________
Student Name: ____________________________
Social Security Number: _____________________
College: __________________________________
Major: ___________________________________
Student Signature: ___________________________
Date: _____________________________________
|