Digital versions of DSCC forms that are available for download. They are stored in the different categories listed on the left.
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
STEM Program for Middle School Students (6th thru 8th grades), July 16-23, 2012, 8:00 am - 12:00 noon each day.
Tennessee Student Assistance Corporation Change of Institution Request.
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.
Sign up for the Dyersburg State Community College Alumni
Lottery Repeat Course Form
Request for Student's or Borrower's Taxpayer Identification Number and Certification
Sign up for the Alumni Association
Dual Enrollment Application
DSCC CLEP Equivalency Chart
The following information packet is for the Fall 2015 Nursing Program at Dyersburg. This packet includes information regarding admission requirements, curriculum, admissions testing and point calculations.
Scholarship form to receive funds for classes during 2015 spring.
There has been technical issues with the electronic application since the upgrade last week. In order to make sure all applicants have a chance to fill out an application to the Advanced Standing LPN to RN Fast Track Program by December 31st deadline, we are attaching a PDF for you to print off and fill out. Once you fill out the application, you can fax to 731-288-7744 or scan and email to firstname.lastname@example.org. If you are emailing the information, please put in the subject line “Fast Track Application”. If you mail the application to the Division of Nursing, it must be postmarked by December 31st in order to be accepted. Thank you- Ms. Johnson
Enrollment form for those interested in attending TECTA orientations during the fall 2015 or spring 2016 semesters.
This is the dual enrollment application.