Financial Aid Forms
Electronic Forms
Use this option to electronically complete and submit your financial aid forms.
This is the preferred method, as submitting online saves you time, money and allows for quicker response from us.
You may submit requested documents by using the fillable PDF form. Enter the data, then print and sign the form. Forms can be mailed to the Financial Aid Office, Dyersburg State Community College, 1510 Lake Road, Dyersburg, Tennessee 38024, faxed to 731-286-3354, or submitted at any DSCC location.
The priority date for financial aid is August 1st for fall semester and December 1st for spring semester. Students need to provide the requested documentation to the Office of Financial Aid before these dates to ensure their financial aid is processed in a timely manner. Documents submitted after the priority dates will be processed, but financial aid may not be processed before the semester's billing due date. Students are responsible for submitting documentation in a timely manner and paying the balance needed to secure their schedule.
Financial Aid Forms for Fall 2021, Spring 2022, and Summer 2022
- 2021-2022 Asset Verification Form (Dependent)
- 2021-2022 Asset Verification Form (Independent)
- 2021-2022 Bachelor's Degree Statement (Dependent)
- 2021-2022 Bachelor's Degree Statement (Independent)
- 2021-2022 Child Support Paid Verification Form (Dependent)
- 2021-2022 Child Support Paid Verification Form (Independent)
- 2021-2022 Cost of Attendance Adjustment Request Form
- 2021-2022 Dependent Verification Worksheet
- 2021-2022 Identity and Statement of Educational Purpose
- 2021-2022 Independent Verification Worksheet
- 2021-2022 Marital Status Statement (Dependent)
- 2021-2022 Marital Status Statement (Independent)
- 2021-2022 Parent Data Worksheet
- 2021-2022 Signature Form (Dependent)
- 2021-2022 Signature Form (Independent)
- 2021-2022 Untaxed Income Verification Form (Dependent)
- 2021-2022 Untaxed Income Verification Form (Independent)
Financial Aid Forms for Fall 2022, Spring 2023, and Summer 2023
- 2022-2023 Asset Verification Form (Dependent)
- 2022-2023 Asset Verification Form (Independent)
- 2022-2023 Bachelor's Degree Statement (Dependent)
- 2022-2023 Bachelor's Degree Statement (Independent)
- 2022-2023 Child Support Paid Verification Form (Dependent)
- 2022-2023 Child Support Paid Verification Form (Independent)
- 2022-2023 Cost of Attendance Adjustment Request Form
- 2022-2023 Dependent Verification Worksheet
- 2022-2023 Identity and Statement of Educational Purpose
- 2022-2023 Independent Verification Worksheet
- 2022-2023 Marital Status Statement (Dependent)
- 2022-2023 Marital Status Statement (Independent)
- 2022-2023 Parent Data Worksheet
- 2022-2023 Signature Form (Dependent)
- 2022-2023 Signature Form (Independent)
- 2022-2023 Untaxed Income Verification Form (Dependent)
- 2022-2023 Untaxed Income Verification Form (Independent)
Appeal Form
Tennessee Scholarship Forms
- TN Promise / TN Reconnect / TELS (Hope) Scholarship Appeal Form
- Repeat Course Form
- Request for Reinstatement - Grade Change
- Change of Institution Form
Special Circumstances
- Special Circumstances Guidelines
- Special Circumstances Form 2021-2022
- Special Circumstances Form 2022-2023
- Dependency Override Form
Consortium Agreement