UMN Program Submission Form

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# SID In draft Created User Program Title Unit Link to Program Registration Description Phone Email (point of contact for participants) Program Director/Leader Program Leader Email Start Date End Date Months Offered Age Estimated number of participants Subject Program Location Publish on Youth Central website? Have all covered staff/volunteers passed a background check within the last three years? Have all covered staff/volunteers completed the Safety of Minors mandatory training via the Training Hub? Will there be a minimum of two program staff on duty at all times who are 18 or older and two years older than the oldest participant? Will all program staff/volunteers/student workers receive an orientation? Have you planned appropriate physical environments to ensure quality learning environments and help prevent illnesses and accidents? Is there a plan to change facilities or modify activities for participants with special needs? Is there a plan to change facilities or modify activities in case of extreme weather? Have you assessed the environment to determine if minors need to be accompanied to the bathrooms? Is there a plan for the safe movement of minors? Do minors attend without a parent or other caretaker? Does the program collect and keep within easy access information on each participant including current medications administered during program time frame and contact information for parents/guardians? Do program staff know how to find and use this information? Has the program established and communicated practices to prevent accidents and illnesses, including adequate first aid and proper handling of medications? Does the program have emergency plans for fire, weather (e.g., tornado), toxic gas evacuations, unfamiliar packages, intruders, lost or missing children, and other emergencies? Has the program established and communicated to program staff appropriate procedures for addressing emergencies, accidents and illnesses? Will the program obtain a signed release of liability from all parents/guardians of minors prior to participation? Does the program lodge people overnight? Will the program follow lodging requirements? Will there be a minimum of two program staff on duty overnight who are 21 or older? Has the program operated previously? Were any incidents of suspected abuse known to have been reported to or by staff in the last year? Was the incident reported to police, sheriff or local social service agency? Did the incident allegedly occur during the program or involve program staff or volunteers? Notification Date Is this a virtual program? Is the platform supported by the University of MN? Have safety guidelines been addressed related to your platform? Will you be live streaming your program? Have safety precautions been put in place related to risks of live streaming? Have all staff/volunteers completed virtual safety guidelines training? Has oversight been established to include a minimum of two adults during all virtual engagement activities? Is recording taking place? Have all participants been informed that the recording will take place? Has the purpose for the recording been communicated to all participants? Will you delete the recording within 30 days? Will the recording be kept on a University accessible device? I agree to the terms of service. Operations
887 4441 No Mon, 10/02/2023 - 14:23 Anonymous Minnesota 4-H Youth Development Program University of Minnesota Extension Department of Youth Development https://extension.umn.edu/4-h/about-4-h 4-H is an out-of-school, hands-on learning program for people age 5-19. Youth choose a project that’s interesting to them and explore it with peers and caring adults. 4-H groups meet virtually or in-person in every part of MN. 6126247974 [email protected] Rebecca Harrington [email protected] Sun, 10/01/2023 - 00:00 Mon, 09/30/2024 - 00:00 Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep, Oct, Nov, Dec 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 40,000 Food, Agriculture, and Natural Resource Sciences, Art, Design, Music, and Theater, Health, Nutrition, and Human Development, Leadership and Citizenship, Science, Technology, Engineering, and Math, Communication, Diversity, History, Languages, and Social Studies, Recreation, Business Crookston/Northwest MN- In-person, Duluth/Northeast MN- In-person, Morris/West Central MN- In-person, Rochester/Southeast MN- In-person, Southwest MN- In-person, Twin Cities/Central MN- In-person, Crookston/Northwest MN- Virtual, Duluth/Northeast MN- Virtual, Morris/West Central MN- Virtual, Rochester/Southeast MN- Virtual, Southwest MN- Virtual, Twin Cities/Central MN- Virtual Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Wed, 09/20/2023 - 00:00 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
895 4481 No Wed, 10/11/2023 - 18:07 Anonymous M-ASCEND Scholars Program I'm not sure https://redcap.ahc.umn.edu/redcap_v13.1.37/index.php?pid=18802 Grant funded program to bring more diversity to cancer research. 60 10th and 11th graders do 5 hands-on Science Saturdays on campus as well as Zoom enrichment for college readiness and identity development. 6123836190 [email protected] Rosalind Palma Martins [email protected] Thu, 11/09/2023 - 18:00 Tue, 05/14/2024 - 19:00 Jan, Feb, Mar, Apr, May, Nov, Dec 15, 16, 17 60 Health, Nutrition, and Human Development, Science, Technology, Engineering, and Math Twin Cities/Central MN- In-person, Twin Cities/Central MN- Virtual No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Wed, 10/11/2023 - 00:00 Yes Yes Yes No Yes Yes No Yes
917 4591 No Mon, 01/22/2024 - 22:19 Anonymous Volunteer CAN Lab Psychiatry canlab.umn.edu She will be working directly with the volunteer coordinator to assist with data organization and data management. She will not have interactions with participants. 6126258448 [email protected] Amy Yang [email protected] Mon, 01/29/2024 - 00:00 Fri, 05/31/2024 - 00:00 Jan, Feb, Mar, Apr, May 16 1 Health, Nutrition, and Human Development, Science, Technology, Engineering, and Math Twin Cities/Central MN- Virtual No Yes Yes Not applicable Not applicable Not applicable Yes Yes Not applicable Not applicable No No No Mon, 01/22/2024 - 00:00 Yes Yes Yes No Yes Yes No Yes