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PSEO Application Documents (Saint Paul College)

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Postsecondary Enrollment Options (PSEO)
Program Notice of Student Registration
2019-20
ED-01763-20
2019-20
Note: Complete an enrollment form for each instructional term and postsecondary institution the student attends.
Once Sections 1 and 2 are completely filled out, mail the enrollment form to the postsecondary institution. Do not
mail this form to the Minnesota Department of Education (MDE).
College Student ID Number:
1. To be Completed and Signed by the Student and Parent/Guardian
Student Name (Last, First, M.I.)
Address
Postsecondary Institution This Term
Minnesota Statutes, section 124D.09, subdivision 6, requires students and parent/guardian sign a statement
indicating they have received information about the program, are aware counseling services are available and
understand the responsibilities regarding enrollment in postsecondary courses. We have received the information
required under Minnesota Statutes, section 124D.09, and are aware the student above is enrolling in postsecondary
courses.
Student Signature
(must be original/wet signature) Student Email
Parent/Guardian Signature
(if student is under age 18) (wet signature) Date
Upon completion of Section 1, pass this form to the pupil’s secondary school for completion of Section 2.
2. To be Completed by Secondary/Nonpublic/Home School
Public
Nonpublic
Home School
Secondary/Nonpublic/Home School Name
School Type (select one)
Student MARSS
* Number
Attending School District Name
Resident
Attending School
District Number
District Number
Select student’s grade while attending this Postsecondary Institution: Grade 10
Grade 11
Grade 12
Public Only
Note: High school graduates and 21-year-olds are not eligible.
Students may not enroll in PSEO courses in addition to a full high school class load. Does this student have at least
one free class period during the high school day? (select one) Yes No
No
Is the above student eligible for program application? (See Pages 3 and 4 for requirements) (select one)
Secondary/Nonpublic/Home School Verification
I certify the student identified in Section 1 meets the eligibility requirements outlined in Minnesota Statutes, section
124D.09, to
apply for participation in the PSEO program this term, and the information in Section
2 is accurate and
applicable to the student.
Secondary School Contact Name Contact Signature (wet signature) Email Phone Date
Directions: Upon completion of Section 2, pass this form to the postsecondary institution for completion of Section 3.
M F
Gender
City
Date of Birth (MM/DD/YYYY)
ZIP Code
Phone Number
Parent/Guardian Name
Address (if different than above)
Resident District Name
Yes
PSEO Notice of Student Registration ED-01763-20
2019-20
Student Name (Last, First, M.I.)
Date of Birth (MM/DD/YYYY) College Student ID Number
3. To be Completed by the Postsecondary Institution
PSI Number City of Postsecondary Institution
Semester 1
Qtr 2 Qtr 3
Name of Postsecondary Institution (PSI)
Semester 2 Quarter (Qtr) 1
Telephone
Courses Taken for Secondary Credit
Course Number
Course Credits
Course #1
Course #2
Course #3
Course #4
Course #5
Course #6
I certify the student identified in Section 1 is registered this term for the courses indicated above, all courses are non-
sectarian in content, are not remedial or developmental, and the student has indicated to me the courses are to be
taken for secondary credit.
Signature – Postsecondary Institution Contact (wet signature) Title Date
Required under Minnesota Statutes, section 124D.09, subdivision 5
“If an institution accepts a secondary pupil for enrollment under this section, the institution shall send written notice
to the pupil, the pupil’s school or school district. The notice must indicate the course and hours of enrollment of that
pupil.”
The postsecondary institution must mail a copy of this form to the following address:
Minnesota Department of Education
Division of School Finance
1500 Highway 36 West
Roseville, MN, 55113
*MARSS stands for Minnesota Automated Reporting Student System
Term of planned attendance (select one):
Postsecondary Institution Contact Name
Email
PSEO Notice of Student Registration ED-01763-20
2019-20
Postsecondary Enrollment Options (PSEO) Student Eligibility
Minnesota Statutes, sections 124D.68 and 124D.09
Public School Student Eligibility – 11
th
or 12
th
Grade Pupil, Minnesota Statutes, section 124D.09, subdivision 5.
An 11
th
or 12
th
grade pupil enrolled in a Minnesota public, nonpublic, home school or American Indian-controlled
tribal contract or grant school eligible for aid under section 124D.83, except a foreign exchange pupil enrolled in
a district under a cultural exchange program, may apply to an eligible postsecondary institution (PSI) to enroll in
nonsectarian courses.
Public School Student Eligibility – 9
th
or 10
th
Grade Pupil, Minnesota Statutes, section 124D.09, subdivision 5(b).
A 9
th
or 10
th
grade pupil enrolled in a district or an American Indian-controlled tribal contract or grant school
eligible for aid under section 124D.83, except a foreign exchange pupil enrolled in a district under a cultural
exchange program, may apply to enroll in nonsectarian courses offered under 124D.83, subdivision 10 courses
according to agreements, if:
1. The school district and the eligible PSI providing the course agree to the student’s enrollment; or
2. The course is a world language course currently available to 11
th
and 12
th
grade students, and consistent
with section 120B.022 governing world language standards, certificates, and seals.
Nonpublic School Student, Alternative Pupil Eligibility – 11
th
or 12
th
Grade Pupil, Minnesota Statutes, section
124D.09, subdivision 4.
Alternative pupil means an 11
th
or 12
th
grade student not enrolled in a public school district, and includes
students attending nonpublic schools and students who are homeschooled.
Career or Technical Education (CTE) Eligibility – 10
th
, 11
th
or 12
th
Grade, Minnesota Statutes, section 124D.09,
subdivision 5(a).
A 10
th
, 11
th
or 12
th
grade pupil enrolled in a district or an American Indian-controlled tribal contract or grant
school eligible for aid under section 124D.83, except a foreign exchange pupil enrolled in a district under a
cultural exchange program, may enroll in a CTE course offered by a Minnesota state college or university. A 10
th
grade pupil applying to a CTE course must have received a passing score on the 8
th
grade Minnesota
Comprehensive Assessment (MCA) in reading as a condition of enrollment. A current 10
th
grade pupil who did
not take the 8
th
grade MCA in reading may substitute another reading assessment accepted by the enrolling PSI.
Limit on Participation, Minnesota Statutes, section 124D.09, subdivision 8.
1. A pupil who first enrolls in grade 9 may not enroll in PSEO courses for more than the equivalent of four
academic years.
2. A pupil who first enrolls in grade 10 may not enroll in PSEO courses for more than the equivalent of
three academic years.
3. A pupil who first enrolls in grade 11 may not enroll in PSEO courses for more than the equivalent of two
academic years.
PSEO Notice of Student Registration ED-01763-20
2019-20
4. A pupil who first enrolls in grade 12 may not enroll in PSEO courses for more than the equivalent of one
academic year.
5. If a pupil in grade 9, 10, 11, or 12 first enrolls in PSEO during the school year, participation shall be
reduced proportionately.
6. If a pupil is in a learning year or other year-round program and begins each grade in the summer session,
summer sessions shall not be counted against the time of participation.
7. If a school district determines a pupil is not on track to graduate, the limit on participation does not
apply to that pupil.
8. A pupil who has graduated from high school cannot participate in a program under this section.
9. A pupil who has completed requirements for graduation but who has not received a diploma may
participate in the program.
Academic Year
For purposes of determining PSEO eligibility, an academic year is equivalent to a school year and is defined as
July 1 through June 30.
Early Middle College Program – Minnesota Statutes, section 124D.09, subdivision 9(b).
An institution must not enroll secondary pupils, for PSEO purposes, in remedial, developmental, or other courses
that are not college level except when a student eligible to participate and enrolled in the graduation incentives
program under section 124D.68 enrolls full time in a middle or early college program designed with a well-
defined pathway to allow the student to earn a certificate or degree.
Fees; Textbooks; Materials – Minnesota Statutes, section 124D.09, subdivision 20.
All textbooks and equipment provided to a pupil, and paid for by the department, are the property of the pupil’s
PSI. Each pupil is required to return all textbooks and equipment to the PSI after the course has ended.
Participation in High School Activities – Minnesota Statutes, section 124D.09, subdivision 11(a).
A school district must allow a student enrolled in a course under this section to remain at the school site during
regular school hours.
Access to Building and Technology – Minnesota Statutes, section 124D.09, subdivisions 11(a) and 11(b).
A school district must allow a student enrolled in a PSEO course to remain at the school site during regular
school hours. A school district must adopt a policy that provides a student enrolled in PSEO with reasonable
access during regular school hours to a computer and other technology resources the student needs to
complete coursework for a PSEO course.
PSEO Book Contract
235 Marshall Avenue
Saint Paul, MN 55102
This form must be read, completed, and signed by the PSEO student before books can be
obtained from the Saint Paul College Bookstore.
All required textbooks and required, consumable equipment/materials are provided to PSEO
students by the PSEO program, free of charge. When the semester ends, all of those books and
equipment must be returned to the Saint Paul College Bookstore in good condition.
If books and equipment are not returned to the Bookstore in good condition by the deadline,
which is the last day of the semester, the student will be billed for the cost of the books and
equipment, and a hold will be placed on the student’s record until the bill is paid in full. This bill
will not be paid by the PSEO program.
Non-consumable equipment/materials that are not used up or depleted such as a camera, uniform,
stethoscope, etc., are not covered by the PSEO program. PSEO students are responsible for paying
for those items out of pocket, and may keep them after the end of the semester.
This document is available in alternative formats to individuals with disabilities by contacting the
Director of Access & Disability Resources at 651.846.1547 or AccessResources@saintpaul.edu.
Saint Paul College is an Equal Opportunity employer and educator and a member of the
Minnesota State Colleges and Universities system.
2/17/17
I, _______________________________________________________, have read the above PSEO Book
Contract and agree to the terms of the policy.
I understand that the PSEO textbooks and equipment lent to me must be returned to the Saint Paul
College Bookstore in good condition by the last day of the semester.
Student / Tech ID#: ___________________________________________
Email: _______________________________________________________
Signature: _________________________________________________ Date: _____________________
Please print full name
I am a:
New Saint Paul College PSEO Student Returning Saint Paul College PSEO Student
PSEO Student Application Checklist
PSEO Application Deadlines: Fall Priority = May 15 Spring Priority = November 1
Fall Final = June 15 Spring Final = December 1
Check one:
I am a new Saint Paul College PSEO applicant (must complete all steps outlined below).
I am a returning Saint Paul College PSEO student (must only complete Step 3).
Name: ______________________________________ High School: _____________________________________
This document is available in alternative formats to individuals with disabilities by contacting the
Director of Access & Disability Resources at 651.846.1547 or AccessResources@saintpaul.edu.
Saint Paul College is an Equal Opportunity employer and educator and a member of Minnesota State
12/27/17
R Check off each step when complete.
Step 1: Apply to Saint Paul College online at saintpaul.edu/apply
Record your 8-number Tech ID/Student ID (not StarID) provided in email from the College:
_____________ (Use this number when “Student ID” is requested throughout PSEO application process.)
Step 2: Take the ACCUPLACER™ assessment
Must complete Reading and Math portions at minimum. For information: saintpaul.edu/assessment
Step 3: Complete the following forms:
Both forms are available on our PSEO webpage, saintpaul.edu/PSEO
1. PSEO Notice of Student Registration form for the intended year. This form must be signed by you,
your guardian, and your high school counselor.
2. PSEO Book Contract
Step 4: Gather the following document(s) based on grade level:
PSEO Sophomores:
1. Ofcial high school transcript showing GPA of 2.0 or greater
2. Copy of 8th grade Minnesota Comprehensive Assessment scores showing passing Reading score
PSEO Juniors & Seniors:
1. Ofcial high school transcript showing both a cumulative GPA of 2.0 or greater AND a class rank in
the top third (juniors) or top half (seniors)
2. If your transcript does not show class rank, you must also provide a nationally standardized, norm-
referenced test (e.g. PLAN, ACT, PSAT, SAT) with a composite score at or above the 70th percentile
(juniors) or the 50th percentile (seniors), OR a letter from your high school counselor verifying you are
in the top third (juniors) or top half (seniors) of your graduating class.
Step 5: Attach this checklist to the documents from Steps 3 & 4,
and submit them before the PSEO application deadline to:
Email: pseo@saintpaul.edu
Fax: 651.403.4059, ATTN: PSEO
Mail: Saint Paul College PSEO, 235 Marshall Avenue, Saint Paul, MN 55102
In Person: One Stop, Room 1300
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Completed 26 July 2020

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