Directions:UponcompletionofSection2,passthisformtothepostsecondaryinstitutionforcompletionofSection3.
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DivisionofSchoolFinance
1500Highway36West
Roseville,MN551134266
POSTSECONDARYENROLLMENTOPTIONS
PROGRAMNOTICEOFSTUDENTREGISTRATION
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NOTE:Completeanenrollmentformforeachinstructionaltermandpostsecondaryinstitutionthestudentattends.OnceSections
1and2arecompletelyfilledout,mailtheenrollmentformtothepostsecondaryinstitution.DonotmailthisformtoMDE.
CollegeStudentIDNumber:
1. TOBECOMPLETEDANDSIGNEDBYTHESTUDENT&PARENT/GUARDIAN
StudentName(Last,Fir st, M.I.): SelectGender
M
F DateofBirth(MM/DD/YYY Y):
StreetAddress: City:
ZipCo d e:

TelephoneNumber:
PostsecondaryInstitut ionThisTerm: Parent/GuardianName: Address(ifdifferentthanabove):
MinnesotaStatutes,section124D.09,subdivision6,requiresstudentsandparent/guardiansignastatementindicatingtheyhavereceived
informationabouttheprogram,areawarecounselingservicesareavailableandunderstandtheresponsibilitiesregardingenrollmentin
postsecondarycourses.WehavereceivedtheinformationrequiredunderMinnesotaStatutes,section124D.09,andareawarethestudent
aboveisenrollinginpostsecondarycourses.
StudentSignature Emailaddress
Parent/GuardianSignature(ifstudentisunder18)
Date
UponcompletionofSection1,passthisformtothepupil’ssecondaryschoolforcompletionofSection2
2. TOBECOMPLETEDBYSECONDARY/NONPUBLIC/HOMESCHOOL
Secondary/NonPublic/HomeSchoolName SchoolTypeSelectOne StudentsMARSSNumber
Public NonPublic HomeSchool
AttendingSchoolDistrictName
AttendingSchoolDistrict#
ResidentDistrictName
ResidentDistrict#
Student’sgradewhileattendingthisPostsecondaryInstitution,Selectgradelevel Grade10 Grade11
Grade12
PublicOnly
NOTE:HIGHSCHOOLGRADUATESAND21YEAROLDSARENOTELIGIBLE
StudentsmaynotenrollinPSEOcoursesinadditiontoafullhighschoolclassload.Doesthisstudenthaveatleastonefreeclassperiodduring
thehighschoolday?(selectone) Yes No
Istheabovestudenteligibleforprogramapplication?(Seepage3forrequirements)(selectone) Yes No
SECONDARY/NONPUBLIC/HOMESCHOOLVERIFICATION
IcertifythestudentidentifiedinSection1meetstheeligibilityrequirementsoutlinedinMinnesotaStatutes,section.124D.09,toapplyfor
participationinthePostsecondaryEnrollmentOptions(PSEO)programthisterm,andtheinformationinSection2isaccurateandapplicable to
thestudent.
SecondarySchoolContactName ContactSignature EmailAddress Telephone Date
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StudentName(Last,First,M.I.) DateofBirth(MM/DD/YYYY) CollegeStudentIDNumber
3. TOBECOMPLETEDBYTHEPOSTSECONDARYINSITUTION
NameofPostsecondaryInstitution PostsecondaryInstitutionNumberCityofPostsecondaryInstitution
Semester1 Semester2 Qtr.1 Qtr.2 Qtr.3Termofplannedattendanceselectone
PostsecondaryInstitutionContactName Emailaddress Telephone
COURSESTAKENFORSECONDARYCREDIT COURSENUMBER COURSECREDITS
Course#1
Course#2
Course#3
Course#4
Course#5
Course#6
IcertifythestudentidentifiedinSection1isregisteredthistermforthecoursesindicatedabove,allcoursesarenonsectarianincontent,are
notremedialordevelopmental,andthestudenthasindicatedtomethecoursesaretobetakenforsecondarycredit.
SignaturePostsecondaryInstitutionContactPerson Title Date
REQUIREDUNDERMINNESOTASTATUTE,SECTION124D.09,SUBD.5
“Ifaninstitutionacceptsasecondarypupilforenrollmentunderthissection,theinstitutionshallsendwrittennoticetothepupil,thepupil’s
schoolorschooldistrict,andthecommissionerwithintendaysofacceptance.Thenoticemustindicatethecourseandhoursofenrollmentof
thatpupil.”
Thepostsecondaryinstitutionmustmailacopyofthisform,withintendaysofacceptance,tothefollowingaddress:MinnesotaDepartmentof
Education,DivisionofSchoolFinance,1500Highway36West,Roseville,MN,55113.
Additionally,copiesofthecompletedformmustbesent,withintendaysofacceptance,tothestudentindicatedin
Section1andthesecondaryschoolofattendanceindicatedinSection2.
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View the Postsecondary Enrollment Options School Finance webpage at MDE > Districts, Schools and Educators > Business and
Finance>School Finance > Postsecondary Enrollment Options.
POSTSECONDARY ENROLLMENT OPTIONS (PSEO) STUDENT ELIGIBILITY
Minnesota Statutes, section 124D.68 and section 124D.09
Public School Student Eligibility – 11
th
OR 12
th
Grade Pupil, Minnesota Statutes 124D.09, subdivision 5.
An 11th or 12 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 124D.09, subdivision 5b.
A 9th or 10th 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 11th and 12th 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 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 124D.09, subdivision 5a.
A 10th, 11th, or 12th 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 10th grade pupil applying to a CTE course must have received a passing score on the
8th grade Minnesota Comprehensive Assessment (MCA) in reading as a condition of enrollment. A current 10th grade pupil who did not
take the 8th grade MCA in reading may substitute another reading assessment accepted by the enrolling PSI.
Limit on Participation, Minnesota Statutes 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.
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 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 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 124D.09, subdivision 11a.
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 124D.09, subdivision 11(a) and subdivision 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.
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