Digital versions of DSCC forms that are available for download. They are stored in the different categories listed on the left.
Faculty may wish to utilize this form for a student who is not present at the first class meeting. A copy of the completed form - signed by the instructor and the student - should be sent to the Office of Records.
The Application for Credit by Examination is used to initiate the process of taking an examination in a specific DSCC course in anticipation of receiving credit for the course based on your current knowledge of the course content.
IRS Tax Request Form
Dependency Override Request
Tennessee Education Lottery Scholarship Request for Reinstatement
TSAC Additional Course Agreement
University of Memphis, PEP Intent to Enroll Form
DSCC and the University of Tennessee at Martin partner to offer DSCC students the opportunity to apply for admission to the university while pursuing an Associate of Arts (A.A) or Associate of Science (A.S.) degree at DSCC.Refer to this document for more information about the Dual Admissions Program (DAP).
The CTE Articulation Agreement is used to gain credit hours for high school courses which articulate into DSCC college-level courses. Individuals who completed Career Technical Education (CTE) courses in high schools may be eligible to receive DSCC credit. Refer to this document for more information.
The Tennessee Early Childhood Program Administrator Credential (TECPAC) is the recognition awarded to early childhood administrators who have demonstrated the specific competencies for effective leadership and management through academics, experiences, and portfolio assessment.
DSCC Cheerleading Application
Federal Aid Authorization 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
STEM Program for Middle School Students (6th thru 8th grades), July 16-23, 2012, 8:00 am - 12:00 noon each day.
Change of Institution Form
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.