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4 FINAL DRAFT — 10/2/23 4
5 5
6 *231781* 6
7 2023 Schedule M1CMD, Credit for Attaining Master’s Degree 7
8 in Teacher’s Licensure Field 8
9 9
10 You may qualify for this credit if all of these are true: 10
11 • You began a master of arts or science degree program after June 30, 2017 11
12 • Your master’s degree program did not include pedagogy or a pedagogy component 12
13 • You held a teaching license from the Minnesota Professional Educator Licensing and Standards Board (PELSB) when you began and 13
14 completed the program 14
15 • You completed the program in taxable year 2023 15
16 • You completed the master’s degree program in a core content area directly related to your licensure field. Core content areas are 16
17 reading, English or language arts, mathematics, science, foreign languages, civics and government, economics, arts, history, and 17
18 geography 18
19 See the instructions for additional qualifications. 19
20 20
21 YOUR FIRST NAME, INITXXXX YOUR LAST NAMEXXXXXXXXXXXX 999999999 21
Your First Name and Initial Last Name Social Security Number
22 22
23 23
24 Minnesota PELSB Licensure Information 24
25 25
26 FUNCTION DESCRIPTIONXXXXX 12XXXXXXXXXXXXXXXXXXXXXXXX 99999999999999 26
Function Description Student Grade Level File Folder Number
27 27
28 28
29 Master’s Degree Program Information 29
30 30
31 ACCREDITED COLLEGE UNIVER DEGREE PROGRAMXX 11223333 11223333 31
Accredited College/University Degree Program Program Start Date Program Completion Date
32 32
33 33
34 34
35 Round amounts to the nearest whole dollar. 35
36 All Applicants 36
37 1 Total amount paid in tuition and required fees, books, and instructional materials for the program . . . . . . . . . . . . . . . 1 12345678 37
38 38
39 2 Total amount of scholarships received in all years for the program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 12345678 39
40 40
41 3 Total employer reimbursement received in all years for the program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 12345678 41
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43 4 Add lines 2 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 12345678 43
44 44
45 5 Subtract line 4 from line 1. If zero or less, STOP HERE. You do not qualify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 12345678 45
46 46
47 6 Enter the lesser of line 5 or $2,500 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 12345678 47
48 Full-Year Residents: Also enter this amount on line 8 of Schedule M1C. 48
49 49
50 50
51 Part-Year Residents and Nonresidents 51
52 7 Enter the percentage from line 30 of Schedule M1NR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 12345678 52
53 53
54 8 Multiply line 6 by line 7. Enter the result here and on line 8 of Schedule M1C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 12345678 54
55 55
56 Include this schedule with your Form M1. 56
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63 9995 63
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