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Parent Portal Access Form
Please provide the following information about the individual you would like to view your application details through the Clarkson Parent & Guardian Portal.
Parent or Guardian Information
Parent/Guardian Relationship Type*
Father
Mother
Legal Guardian
Step-Father
Step-Mother
Parent/Guardian First Name*
Parent/Guardian Last Name*
Parent/Guardian Email Address*
Hidden:
Concatenate Display Name
Hidden:
Populate Parent Email Address (matching criteria)
Hidden:
Set Parent Username to Email
Hidden:
Set Device Type to Email Address
Email Address
Evening Phone
Mobile Phone
Primary Phone
Hidden:
Generate PIN
Hidden:
Generate PIN
Yes
No
Hidden:
Student Ref ID Holder
Hidden:
Student Ref ID - Mapped to Entity
Hidden:
Student Ref ID (Parent to Student Connection)
Hidden:
Student to Parent Link Status (defaults to Active)
Active
Inactive
Submit
