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Postsecondary Enrollment Options (PSEO) 2019-20 Program Notice of (Southwest Missouri State University)

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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.
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Completed 26 August 2020

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