Digital versions of DSCC forms that are available for download. They are stored in the different categories listed on the left.
Dyersburg State required students to have certain immunizations be enrolled. This form explains these requirements as well as provides a form for your physician to verify you have met these requirements.
2012 Nursing Student Packet
New Athlete Medical Form
Returning Athlete Medical Form
Direct Deposit Form
Federal Aid Authorization Form
Parking Violation Appeal Form
Complete and return this form to join the DSCC Alumni Association. If you have completed nine semester hours (or their equivalent), you are eligible to become a member of the Dyersburg State Community College Alumni Association.
Public Higher Education Fee Waiver for State Employees
ACH Direct Deposit Form
The Intent for General Education certificate is used to indicate your interest in recieving a General Education Core Certificate. Please review this document for more information.
STEM Program for Middle School Students (6th thru 8th grades), July 16-23, 2012, 8:00 am - 12:00 noon each day.
To apply for the DSCC Alumni Association Scholarship: • Tell us why you feel you deserve to be awarded the DSCC Alumni Association Scholarship in 100 words or less. Submit essay with the application. • Must have and maintain a minimum grade point average (GPA) of 2.0. • Must be enrolled as a full time student (12 or more hours). • Scholarship may be retained as long as criteria is met each semester for a maximum of four semesters and funding is available. Download and print a copy of the application below.
Tennessee Student Assistance Corporation Change of Institution Request.
VA Certification Information
Loan Review Form
This form allows students to authorize the release of student record information otherwise protected by the Family Educational R
This form allows students to authorize the release of student record information otherwise protected by the Family Educational Rights and Privacy Act (FERPA) to designated persons.
Dyersburg State Community College Alumni Scholarship