Coronavirus Update

On July 15, Dickinson announced that the fall 2020 semester will be remote. Campus is closed to visitors who do not have an approved appointment. Face coverings must be worn at all times.

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Class of 2024 Parent/Guardian Household Form

Form Entry

Student Name Required

Home Address Required

Parent 1:

Parent 1 Name Required

Parent 1 Home Address Required

Parent 1 Employer

Parent 1 Position

Parent 1 Business Address

Parent 1 Business Phone

Parent 1 Business Email

Parent 1 Employment Status

Self-Employed

Stay-at-home Parent

Retired

None of the above

Parent 2:

Parent 2 Name

Parent 2 Home Address

Parent 2 Employer

Parent 2 Position

Parent 2 Business Address

Parent 2 Business Phone

Parent 2 Business Email

Parent 2 Employment Status

Self-Employed

Stay-at-home Parent

Retired

None of the above

Family Members of Student

SIBLINGS

	Name	Birthdate	Gender	Dickinson Alum (Y/N)
1
2
3
4
5

DICKINSON RELATIVES

	Name	Class Year	Relationship
1
2
3
4
5
6

Professional & Community Involvement of Parents/Guardians: List any volunteer efforts or board involvement.

Volunteering at Dickinson: Indicate your interests in volunteering with Dickinson.

Parents Leadership Council

Host an Event at home/office/social space

Admissions

Career Center

Other