Division of School Finance
1500 Highway 36 West
Roseville, MN 55113-4266
Postsecondary Enrollment Options
(PSEO) Program Verification of
Extended PSEO Eligibility 2019-20
ED-02480-04
Note: Complete a Verification of Extended PSEO Eligibility form, ED-02480-04, for each instructional term and
postsecondary institution the student attends. Completion of this form documents a school district’s determination
that a pupil is not on track to graduate for purposes of limitations on PSEO eligibility.
Pupil/Student Minnesota Automated
Reporting Student System (MARSS) ID Number:
College
Student ID Number:
To be Completed and Signed by the Secondary Public School
Student Name (Last, First, M.I.)
Date of Birth (MM/DD/YYYY)
Student Address
City
ZIP code Telephone Number
Postsecondary Institution This Term
Semester
Semester 1
Semester 2
Minnesota Statutes, section 124D.09, subdivision 8:
Subdivision 8. Limit on participation. A pupil who first enrolls in grade 9 may not enroll in postsecondary courses
under this section for secondary credit for more than the equivalent of four academic years. A pupil who first enrolls
in grade 10 may not enroll in postsecondary courses under this section for secondary credit for more than the
equivalent of three academic years. A pupil who first enrolls in grade 11 may not enroll in postsecondary courses
under this section for secondary credit for more than the equivalent of two academic years. A pupil who first enrolls
in grade 12 may not enroll in postsecondary courses under this section for secondary credit for more than the
equivalent of one academic year. If a pupil in grade 9, 10, 11 or 12 first enrolls in a postsecondary course for
secondary credit during the school year, the time of participation shall be reduced proportionately. 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. If a school district determines a pupil is not on track to graduate, the
limit on participation does not apply to that pupil.
School District Determination
I certify all of the following:
• The pupil/student identified in above section has been determined as not on track to graduate.
• The pupil/student’s PSEO courses are to be taken for both PSEO and secondary credit.
Title
Date
M
F
Gender
Authorized District Pe
rson Name
_____________________________________________
Signature (must be original/wet signature)
2019-20
