Dixie State University

Registration Forms

Form

Description

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Release of Information AuthorizationThe Family Education Rights and Privacy Act (FERPA) is a federal law which protects the privacy of student education records. Under FERPA, a student must give written permission to allow another individual access to their education records. Signing the form outside of the presence of a Dixie State University official will automatically void the form.PDF  
Add Card Used to register for classes when a signature is required (when a prerequisite has not been met, instructor permission required, course is full, etc.) *see Academic Calendar for dates and deadlines.PDF  
Audit CardUsed to audit a course. Must be submitted prior to the end of the 4th week.PDF  
Drop CardUsed to drop a course, individual courses can also be dropped online.To drop all of your classes, please submit the complete withdrawal form *see Academic Calendar for dates and deadlinesPDF  
Course Repeat CardAfter a student has repeated a course, this card is submitted to negate the previous grade from the GPA.PDF  
House Bill 60 CardUsed by Utah residents (62 yrs old and up) to participate in the house bill 60 program. Card is signed on the 1st day of classes by instructor and returned to the Registrar’s Office.PDF  
Complete Withdrawal FormUsed to completely withdraw from DSU beginning the first day of the semester.Online  
PDF  
Major ChangeUsed to change your major.Online  
Leave of Absence & Scholarship Deferment Used when a student is taking a break of more than one semester or deferring their admission. (Cannot be used if you are enrolling at another institution of higher education.)Online  
Information ChangeUsed to change name, social security number, or gender in the student information database.PDF  
Academic Renewal PetitionAllows eligible students to discount limited previous poor grades from the grade point calculations on their transcript.PDF  
Exception to Policy PetitionSeek for an exception to a given policy (i.e. late add, late drop, tuition refund, etc.)PDF  
Academic Appeals FormFor students who are appealing a grade, a graduation requirement and/or a general education requirement.Online  
Reorder Diploma Form Upon submission of this form, you will be sent a confirmation email and charged a $10 replacement diploma fee. The fee may be paid online through your MyDixie account. Please email graduation@dixie.edu if you have any questions.Online  
Order/Reorder Certificate FormUpon submission of this form, you will be sent a confirmation email and charged a $10 order/replacement certificate fee. The fee may be paid online through your MyDixie account. Please contact your academic advisor if you have any questions.Online  
General Education Letter of CompletionCertifies a student’s completion of general education requirements.Online  
Transfer Credit Equivalency FormUsed to articulate transfer courses that have been evaluated as the equivalent to DSU courses. PDF  
Order Transcripts Order Transcripts through myDixie or through the National Student Clearinghouse. More information can be found here.More Info  

Admission Forms

Commonly Used
Form

Description

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Application for Admission Apply for admission to Dixie State University Online  
International Student Application for Admission Apply for admission to Dixie State University as an International Student Online  
Leave of Absence/Admission and Scholarship Deferment Used when you are taking a break of more than one semester (under certain conditions) or deferring your admission. Cannot be used if you are enrolling at another institution of higher education. Online  
Residency Application Used by non-resident students to apply for Utah residency for tuition purposes. PDF  
Admission Withdrawal Form Used if you have applied for DSU but have decided to go to a different college/university. Online  
Other Forms
Form

Description

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Release of Information Authorization Allows a 3rd party (i.e. parents, guardian) access to a student’s records, and to act in behalf of the student in requesting transcripts or other information. PDF  
Affidavit for Non-Resident Alien Waiver For students of undocumented aliens, to qualify for a waiver of non-resident tuition. PDF  
Exemption of Non-Resident Tuition for Eligible Foreign Nationals Exemption of non-resident tuition for foreign nationals who qualify under USHE policy R512.4.4.3 PDF  

Faculty Form

Commonly Used
Form

Description

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Incomplete Contract Per Policy 522, used by faculty to define course completion requirements. PDF 

Contact

REGISTRAR MAILING ADDRESS

Dixie State University
225 South University Ave
St. George, UT. 84770

Registration

Email: records@dixie.edu

Phone: 435-652-7708

Fax: 435-879-4005

Office: HCC, 1st Floor

Admissions

Email: admissions@dixie.edu

Phone: 435-652-7777

Fax: 435-879-4060

Office: HCC, #180

Advisement

Email: advisement@dixie.edu

Phone: 435-652-7690

Fax: 435-879-4028

Office: HCC, 1st Floor

Financial Aid

Email: finaid@dixie.edu

Phone: 435-652-7575

Fax: 435-879-4087

Office: HCC, #180